Individual
MRS. PAMELA MARIE DISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
444 FOUR STATES DR, STE 1, GALENA, KS 66739-4325
(620) 783-4441
(620) 783-4090
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003838
MO
Other
Enumeration date
05/17/2007
Last updated
12/29/2011
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