Individual
MRS. CASEY JO BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1106 PARK DR, GREENWOOD, MO 64034-9344
(660) 620-2605
Mailing address
1106 PARK DR, GREENWOOD, MO 64034-9344
(660) 620-2605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011001388
MO
Other
Enumeration date
12/29/2011
Last updated
08/20/2014
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