NPI 1003045642

Jacqueline Foote, COTA

Practitioner Occupational Therapy Assistant Humansville, MO

Practice location

Address: 202 E Mill St, Humansville, MO 65674-8507
Phone: (417) 754-1601
Mailing address: 206 W Lee St, Butler, MO 64730-1130

Registered specialties (3)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 003149 (MO)

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Registry record

NPI: 1003045642
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2009
Record last updated: 3 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.