Individual
CARLY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 GLENN HENDREN DR, LIBERTY, MO 64068-3375
(816) 792-2211
Mailing address
3505 N OSAGE ST, INDEPENDENCE, MO 64050-1136
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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