Organization
SULLIVAN CONSOLIDATED DISTRICT NO 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HARBOUR (SPECIAL SERVICES DIRECTOR)
(573) 468-5171
Entity
Organization
Contact information
Practice address
SULLIVAN CONSOLIDATED DISTRICT NO 2, 138 TAYLOR ST, SULLIVAN, MO 63080-1936
(573) 468-5171
(573) 468-5196
Mailing address
138 TAYLOR ST, SULLIVAN, MO 63080-1936
(573) 468-5171
(573) 468-5196
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506081108
—
MO
Enumeration date
03/14/2007
Last updated
06/15/2016
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