Individual
MRS. MARCHALL RENA HAMBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A./L
Contact information
Practice address
11515 TROOST AVE, KANSAS CITY, MO 64131-3769
(816) 943-0101
Mailing address
5641 EUCLID AVE, KANSAS CITY, MO 64130-3333
(816) 359-1529
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-00668
KS
224Z00000X
Occupational Therapy Assistant
Primary
2004023159
MO
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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