Individual
RITA J SIDEBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
701 N OAK ST, STOVER, MO 65078-0842
(573) 377-2217
(573) 377-2211
Mailing address
701 N OAK ST, STOVER, MO 65078-0842
(573) 377-2217
(573) 377-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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