Individual
SHYLO ACHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5195 MAGNOLIA DR, JOPLIN, MO 64801-6406
(417) 684-7415
Mailing address
PO BOX F, NEVADA, MO 64772-0935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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