Individual
MRS. RENEE LYNN DUPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9120 N MERSINGTON AVE, KANSAS CITY, MO 64156-3015
(816) 734-0833
Mailing address
9120 N MERSINGTON AVE, KANSAS CITY, MO 64156-3015
(816) 734-0833
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004164
MO
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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