Individual
HALEY HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
701 N OAK ST, STOVER, MO 65078-0842
(573) 377-2217
Mailing address
701 N OAK ST, STOVER, MO 65078-0842
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020037522
MO
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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