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Individual

HANNAH KELLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
RR1 BOX 212, SCHUYLER COUNTY NURSING HOME, QUEEN CITY, MO 63561
(660) 766-2291
Mailing address
27405 STEER CREEK WAY, KIRKSVILLE, MO 63501-7210

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014009870
MO

Other

Enumeration date
12/18/2014
Last updated
12/18/2014
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