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NPI Code Detail

MEDICARE: LINUS OGWENO

MEDICARE: LINUS OGWENO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist003203MO

General Provider Information

NPI Number : 1134261555
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINUS OGWENO
Provider Business Mailing Address
First Line : 640 COLONEL GEORGE E DAY PKWY
Second Line :
City : SIKESTON
State : MO
Zip : 63801-3806
Country : US
Telephone Number : 573-417-0466
Fax Number : 573-471-4918
Provider Business Practice Location Address
First Line : 2133 NW 13TH ST
Second Line :
City : BLUE SPRINGS
State : MO
Zip : 64015-7734
Country : US
Telephone Number : 816-224-0003
Fax Number : 816-224-2199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 10/31/2017

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Directions to “ LINUS OGWENO ” Practice Location

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