Individual
MRS. SHARON ELEN RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4237 SW CLIPPER LN, LEES SUMMIT, MO 64082-4793
(816) 305-0835
Mailing address
4237 SW CLIPPER LN, LEES SUMMIT, MO 64082-4793
(816) 305-0835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01016
KS
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
2000174007
MO
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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