Individual
TARA REDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NE MOCK AVE, BLUE SPRINGS, MO 64014-2503
(816) 220-4200
Mailing address
409 W WALNUT ST APT C, RAYMORE, MO 64083-8905
(816) 582-3678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2020002299
MO
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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