Organization
MITZI M. CLEARY, OTD, OTR/L, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITZI M. CLEARY OTD, OTR/L (PRESIDENT)
(816) 383-0924
Entity
Organization
Contact information
Practice address
18939 EVERGREEN DR, COUNTRY CLUB, MO 64505-4058
(816) 383-0924
(816) 279-3094
Mailing address
18939 EVERGREEN DR, COUNTRY CLUB, MO 64505-4058
(816) 383-0924
(816) 279-3094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1702329
KS
225X00000X
Occupational Therapist
Primary
2003000911
MO
Other
Enumeration date
10/31/2007
Last updated
12/07/2010
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