Individual
MISS JONI BUCKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3608 N PLEASANT ST, INDEPENDENCE, MO 64050-1149
(918) 314-1175
Mailing address
3608 N PLEASANT ST, INDEPENDENCE, MO 64050-1149
(918) 314-1175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01701
KS
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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