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Individual

AMY GROSENHEIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284
Mailing address
3101 MAIN ST, KANSAS CITY, MO 64111-1921
(816) 841-2284

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-02823
KS
225X00000X
Occupational Therapist
Primary
2012026717
MO

Other

Enumeration date
10/14/2012
Last updated
10/14/2012
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