Individual
MRS. ZADEL REQUILLO CABRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1120 FALCON DR, KENNETT, MO 63857-3825
(573) 888-1150
Mailing address
319 NORTH MAIN ST,, APT. D, KENNETT, MO 63857
(573) 717-0687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004003773
MO
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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