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Melisa Imelda Hendren, COTA/L

Occupational Therapy Assistant in Lees Summit, MO. Individual provider (NPI-1).

NPI number1649548827
StatusActive
Last updated in NPPESFeb 23, 2017

Details

NPI
1649548827
Entity type
Individual (NPI-1)
Name
Mrs. Melisa Imelda Hendren
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 2, 2011
Last updated
Feb 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant2002004976MOYes

Practice location

204 Ne Chipman Rd
Lees Summit, MO 64063-2404

Phone 816-607-5333

Mailing address

204 Ne Chipman Rd
Lees Summit, MO 64063-2404

Phone 816-607-5333

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