Individual
KATLYN DENAE BOKHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10000 WORNALL RD, KANSAS CITY, MO 64114-4359
(816) 942-0994
Mailing address
12605 EAST 35TH TERRACE SOUTH, INDEPENDENCE, MO 64055
(641) 780-9291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
079430
IA
225X00000X
Occupational Therapist
Primary
2021011699
MO
225XP0200X
Pediatric Occupational Therapist
079430
IA
Other
Enumeration date
11/05/2015
Last updated
05/21/2021
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