Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lori Pendergrass, MSOTR/L

Individual provider Occupational Therapy Assistant · NPI 1023439403

Mrs. Lori Pendergrass, MSOTR/L is an Occupational Therapy Assistant in Willow Springs, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
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Practice location Address checks out

910 Springfield Rd
Willow Springs, MO 65793
Phone: (417) 217-1811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Kentucky Ave, West Plains, MO 65775 — (417) 257-5959

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 2013020044 (MO)

Record details

NPI number1023439403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTR/L
Sole proprietorNo
NPI enumeratedJanuary 2, 2014
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020

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