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Individual

SUSAN KAY HOADLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
111 NE MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 220-4200
Mailing address
3808 S GRAND AVE, INDEPENDENCE, MO 64055-7107
(816) 898-2314

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004213
MO

Other

Enumeration date
02/11/2022
Last updated
02/11/2022
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