Jacqueline Foote, COTA
Occupational Therapy Assistant in Humansville, MO. Individual provider (NPI-1).
NPI number1003045642
StatusActive
Last updated in NPPESJul 3, 2009
Details
- NPI
- 1003045642
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Foote
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2009
- Last updated
- Jul 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 003149 | MO | Yes |
| 224Z00000X | Occupational Therapy Assistant | 1517 | CA | |
| 224Z00000X | Occupational Therapy Assistant | 210437 | TX |
Practice location
202 E Mill StHumansville, MO 65674-8507
Phone 417-754-1601
Mailing address
206 W Lee StButler, MO 64730-1130
Phone 660-227-9007
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