Individual
MRS. MARIAH DIANE CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-00562
KS
224Z00000X
Occupational Therapy Assistant
Primary
2006029144
MO
Other
Enumeration date
03/31/2007
Last updated
09/11/2025
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