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Individual

CELINE L OGLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
608 ROCKWELL CT, INDEPENDENCE, MO 64056-3125
(816) 863-3527
Mailing address
608 ROCKWELL CT, INDEPENDENCE, MO 64056-3125
(816) 863-3527

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2021031599
MO

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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