Healthcare Provider Details

I. General information

NPI: 1982335337
Provider Name (Legal Business Name): DANA GIFFORD OTR/L, CBIS, CSRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DANA ROBERSON

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5419 S 192ND RD
PLEASANT HOPE MO
65725-9185
US

IV. Provider business mailing address

5419 S 192ND RD
PLEASANT HOPE MO
65725-9185
US

V. Phone/Fax

Practice location:
  • Phone: 417-274-4292
  • Fax:
Mailing address:
  • Phone: 417-274-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: