Audrey Marie Gaines

NPI #1780452391 in Fulton, Missouri

Provider Information

NPI Number
1780452391
Entity Type
Individual
Name
Audrey Marie Gaines
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Dec 13, 2023
Last Updated
Dec 13, 2023

Practice Location

Address
2 HORNET DR
City
Fulton
ZIP Code
65251-2732
Phone
(573) 642-4632

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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