Individual
SANDRA F ENGBROTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
111 NW MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 407-9310
Mailing address
8533 NE 91ST TER, KANSAS CITY, MO 64157-8625
(816) 407-9310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003127
MO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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