Individual
TARA PLOEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1616 WEISENBORN RD, SAINT JOSEPH, MO 64507-2527
(816) 232-9874
Mailing address
809 300TH ST, MORRILL, KS 66515-9487
(785) 547-5821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1073
NE
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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