Organization
SCHOOL DIST R4 SALISBURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARON GEBHARDT (SPECIAL SERVICES DIRECTOR)
(660) 388-6611
Entity
Organization
Contact information
Practice address
305 E 6TH ST, SALISBURY, MO 65281-1321
(660) 388-6611
(660) 388-6752
Mailing address
305 E 6TH ST, SALISBURY, MO 65281-1321
(660) 388-6611
(660) 388-6752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506080209
—
MO
Enumeration date
04/18/2007
Last updated
06/15/2016
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