Individual
MRS. KALLI JEAN SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
810 E WALNUT ST, INDEPENDENCE, MO 64050-4025
(816) 461-9600
Mailing address
1105 SUSAN ST, KEARNEY, MO 64060-7571
(816) 668-5303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2012026434
MO
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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