Individual
MRS. ROSELLE YCU SOLIJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
500 BARRETT DR, MALDEN, MO 63863-1204
(573) 276-3843
(573) 276-5322
Mailing address
206 MADISON ST, APT. B, KENNETT, MO 63857-1735
(573) 559-5356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005010644
MO
Other
Enumeration date
03/01/2008
Last updated
03/01/2008
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