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Individual

DAVIS HARRISON PICKINPAUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
8100 WORNALL RD, KANSAS CITY, MO 64114-5806
(816) 363-5141
Mailing address
7921 GRANT ST APT 37, OVERLAND PARK, KS 66204-3352
(913) 944-9142

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012001551
MO

Other

Enumeration date
06/01/2012
Last updated
06/01/2012
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