Individual
MS. MICHELLE ANN MOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1100 W 15TH ST, OTTAWA RETIREMENT VILLAGE, OTTAWA, KS 66067
(785) 242-5399
Mailing address
20110 W 224TH ST, SPRING HILL, KS 66083-7403
(913) 707-6131
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17-01633
KS
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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