Individual
PHYLLIS FAY CAUDILL-JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
915 CARL ALLEN ST, MOUNT VERNON, MO 65712-1612
(417) 461-7018
(417) 461-7026
Mailing address
624 W SPRINGFIELD ST, AURORA, MO 65605-1850
(417) 678-6101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006020322
MO
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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