Individual
MISS PEARLIE URSAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
509 MEADOWLARK AVE, CRANE, MO 65633-9317
(417) 723-5281
Mailing address
4052 W SIERRA ST, BATTLEFIELD, MO 65619-8246
(417) 693-3971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000173514
OCCUPATIONAL THERAPY LICENSE
MO
Enumeration date
08/18/2008
Last updated
08/18/2008
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