Individual
JILL M SCHLOTTACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
CONSOLIDATED SCHOOL DIST 4, 13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Mailing address
13015 10TH ST, GRANDVIEW, MO 64030-2401
(816) 316-5047
(816) 316-5081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2003019882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476925300
—
MO
Enumeration date
04/27/2007
Last updated
02/26/2009
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