Individual
EMMA GRACE BULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
Mailing address
5812 N COLORADO AVE, KANSAS CITY, MO 64119-2426
(816) 699-1218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024030107
MO
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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