Organization
ACCESS POTENTIAL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ANN DAVIDSON OTR/L (OWNER)
(417) 619-1424
Entity
Organization
Contact information
Practice address
1983 S FR 69, REPUBLIC, MO 65738
(417) 619-1424
Mailing address
1983 S FR 69, REPUBLIC, MO 65738
(417) 619-1424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003020265
MO
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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