Individual
ANNA MINCEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 HIGHWAY 28, OWENSVILLE, MO 65066-2814
(573) 437-6877
Mailing address
212 E CRESTWOOD AVE, GERALD, MO 63037-2334
(573) 205-9758
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018014087
MO
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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