Individual
MICHELLE PAYGE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1300 S MAIN ST, CLINTON, MO 64735-2728
(660) 351-3185
Mailing address
112 W SUNDALE DR, CLINTON, MO 64735-2732
(660) 351-3185
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013028150
MO
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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