Individual
MRS. STACEY RACHELLE ADAMS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
509 MEADOW LARK LANE, CRANE, MO 65633-9317
(417) 723-5281
(417) 723-8435
Mailing address
509 MEADOW LARK LANE, CRANE, MO 65633
(417) 723-5281
(417) 723-8435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2003017031
MO
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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