Individual
LINDA DIANIA STRATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2004 CRESTVIEV ST, AVA, MO 65608-1358
(417) 683-0169
Mailing address
PO BOX 1358, AVA, MO 65608-1358
(417) 683-0169
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004713
MO
Other
Enumeration date
10/01/2007
Last updated
10/10/2007
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