Individual
CLINIQUE OUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12100 WORNALL RD, KANSAS CITY, MO 64145-1764
(816) 941-0525
Mailing address
9332 N MAIN ST, KANSAS CITY, MO 64155-7323
(816) 365-2305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2014000189
MO
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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