Individual
KAITLYN ANN VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
207 E 5TH ST, MOUNTAIN GROVE, MO 65711-1660
(417) 926-3177
Mailing address
207 E 5TH ST, MOUNTAIN GROVE, MO 65711-1660
(417) 926-3177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015025130
MO
Other
Enumeration date
08/10/2015
Last updated
03/25/2024
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