Individual
KATHY J CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
631 W MAIN ST, BUFFALO, MO 65622-7496
(417) 345-5424
Mailing address
5253 S MORNING GLORY LN, BATTLEFIELD, MO 65619-8217
(417) 844-7962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2010028092
MO
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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