Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Audrey Marie Gaines

Individual provider Occupational Therapy Assistant · NPI 1780452391

Audrey Marie Gaines is an Occupational Therapy Assistant in Fulton, Missouri. Licensed in Missouri. Registered with an NPI since 2023.

Licensed in
MO
In the registry since
2023

Practice location Address checks out

2 Hornet Dr
Fulton, MO 65251-2732
Phone: (573) 642-4632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2023039702 (MO)

Record details

NPI number1780452391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address1240 County Road 2340, Moberly, MO 65270-4323

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