Individual
MR. DAVID ODINGA EGESSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
214 WEST 5TH ST, GMM PROCARE PROVIDERS INC, JOPLIN, MO 64801
(417) 782-2917
(417) 782-7038
Mailing address
4007 W CONDOR DR, BATTLEFIELD, MO 65619-9822
(417) 782-2917
(417) 782-7038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004879
MO
225X00000X
Occupational Therapist
1191
OK
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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