Individual
MADILYN FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 501-5138
Mailing address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2015021263
MO
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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