Individual
KRISTA SUE STALCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5703 N HULL CT, KANSAS CITY, MO 64151-2602
(816) 746-4960
Mailing address
5703 N HULL CT, KANSAS CITY, MO 64151-2602
(816) 746-4960
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000059
MO
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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