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Individual

BABITA PATNAIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
127 WALNUT, GREENVILLE R-II, GREENVILLE, MO 63944
(573) 224-3916
(573) 224-3412
Mailing address
PO BOX 320, GREENVILLE, MO 63944-0320
(573) 224-3916
(573) 224-3412

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003175
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
474965746
MO
Enumeration date
02/23/2007
Last updated
02/19/2009
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