Individual
MRS. PERSIS RUPAMATHY BASKARAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1201 HUNT AVE, COLUMBIA, MO 65202-1367
(573) 449-1448
Mailing address
701 WINDERMERE DR, COLUMBIA, MO 65203-6424
(573) 673-3321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004071
MO
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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