Individual
LACIE MARIE BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 SE 16TH ST, OAK GROVE, MO 64075
(816) 690-8770
Mailing address
40009 E DORIS NEER RD, OAK GROVE, MO 64075-7111
(816) 914-0511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014020802
MO
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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