Individual
MRS. AMY AGASINO ENGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
138 TAYLOR ST, SULLIVAN, MO 63080-1936
(573) 468-5446
(573) 468-6387
Mailing address
313 RICHARD DR, WASHINGTON, MO 63090-6243
(314) 920-9429
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2003001207
MO
Other
Enumeration date
02/09/2006
Last updated
10/08/2012
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