Individual
LORI PUMPHREY
Active
Individual
LORI PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005445
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MO MEDICAID
—
MO
Enumeration date
06/10/2016
Last updated
06/10/2016
Update your record
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