Individual
JUSTIN RYAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
508 SAINT EUNICE ROAD, FULTON, MO 65251
(573) 220-9870
Mailing address
508 E SAINT EUNICE RD, FULTON, MO 65251-2441
(573) 220-9870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2013027036
MO
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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