Individual
REBECCA ALTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 265-1170
Mailing address
3506 NW LAKE DR, LEES SUMMIT, MO 64064-1801
(314) 606-9235
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
03/05/2021
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