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MS. MISSY MARIE STEVENSON COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1780931758

Individual Registrant:
MS. MISSY MARIE STEVENSON COTA/L
Gender: F
Sole Proprietor

Location and contact information for practice:
602 CRESTVIEW DR  ENTERPRISE, KS 67441 US
Tel: 785-226-1814  Fax: --

Contact information for business:
832 NICHOLSON RD  CHAPMAN, KS 67431-8932 US
Tel: 785-226-1814  Fax: --

Registration Information:
NPI: 1780931758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
KS18-00766

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS KS - Page 1



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