Individual
GINA STIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
1000 E MONTCLAIR ST, SPRINGFIELD, MO 65807-5026
(866) 336-8073
Mailing address
5088 CHERRY PL, SPRINGFIELD, MO 65809-1804
(415) 308-8096
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
2015032909
MO
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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