Coby Cedarholm, COTA/L
Occupational Therapy Assistant in Overland Park, KS. Individual provider (NPI-1).
NPI number1982116356
StatusActive
Last updated in NPPESOct 25, 2017
Details
- NPI
- 1982116356
- Entity type
- Individual (NPI-1)
- Name
- Coby Cedarholm
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2017
- Last updated
- Oct 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 2015018415 | MO | Yes |
Practice location
5100 Indian Creek PkwyOverland Park, KS 66207-4115
Phone 913-967-5222
Mailing address
545 Jefferson CirLiberty, MO 64068-1440
Phone 816-679-4287
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All 80 Occupational Therapy Assistant providers in Overland Park · All 7,955 providers in Overland Park
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