Individual
MYRA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
810 E EDWARDS ST, MARYVILLE, MO 64468-2917
(816) 882-0697
Mailing address
3010 DOUGLAS ST, SAINT JOSEPH, MO 64506-2145
(816) 882-0697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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