Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2008022707 | MO |
NPI | 1003053471 |
---|---|
Provider Name | Mrs. Zanetta R Morrow |
First Address | Richland, MO 65556-8202 |
Second Address | Richland, MO 65556-8202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2009 |
Last Update Date | 07/01/2009 |