Organization
NORTHLAND EARLY EDUCATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A. BARTLETT (EXECUTIVE DIRECTOR)
(816) 420-9005
Entity
Organization
Contact information
Practice address
8630 N OAK TRFY, KANSAS CITY, MO 64155-2471
(816) 420-9005
(816) 420-9010
Mailing address
8630 N OAK TRFY, KANSAS CITY, MO 64155-2471
(816) 420-9005
(816) 420-9010
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2001031051
MO
225XP0200X
Pediatric Occupational Therapist
000623
MO
235Z00000X
Speech-Language Pathologist
117116
MO
Other
Enumeration date
01/23/2007
Last updated
12/05/2014
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