Mrs. Lori Pendergrass
Occupational Therapy Assistant
910 Springfield Rd
Willow Springs
, Missouri 65793
Mrs. Lori Pendergrass
Occupational Therapy Assistant
910 Springfield Rd
Willow Springs
, Missouri 65793
(417) 217-1811
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Lori Pendergrass
- Po Box 392
- Willow Springs, MO
- Zip : 65793-0392
- Phone : (417) 217-1811
Second Address
- Mrs. Lori Pendergrass
- 910 Springfield Rd
- Willow Springs, MO
- Zip : 65793
- Phone : (417) 217-1811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 2013020044 | MO |
National Provider Identifier
| NPI | 1023439403 |
|---|---|
| Provider Name | Mrs. Lori Pendergrass |
| First Address | Willow Springs, MO 65793-0392 |
| Second Address | Willow Springs, MO 65793 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2014 |
| Last Update Date | 07/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.