Individual
MRS. ALI DREW CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5195 MAGNOLIA DR, JOPLIN, MO 64801-6406
(417) 684-7415
Mailing address
5195 MAGNOLIA DR, JOPLIN, MO 64801-6406
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020004001
MO
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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