Individual
RAJAB ECHESSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2013 E SWALLOW ST, SPRINGFIELD, MO 65804-6730
(417) 207-1680
Mailing address
2013 E SWALLOW ST, SPRINGFIELD, MO 65804-6730
(417) 207-1680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004016
MO
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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