Individual
MRS. ELLEN ROSE KLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7101 WASHINGTON ST, KANSAS CITY, MO 64114-1342
(816) 363-0043
Mailing address
7101 WASHINGTON ST, KANSAS CITY, MO 64114-1342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1702131
KS
225X00000X
Occupational Therapist
Primary
2000158821
MO
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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