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Individual

MELISSA S BIRKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8306 E 235TH ST, PECULIAR, MO 64078-9267
(816) 305-3469
(816) 779-1054
Mailing address
PO BOX 613, PECULIAR, MO 64078-0613
(816) 305-3469
(816) 779-1054

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004749
MO

Other

Enumeration date
01/22/2008
Last updated
04/07/2010
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