Individual
MARJORIE A CHEESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2975 E. MORRIS ST., REPUBLIC, MO 65738-2718
(417) 300-3192
Mailing address
2975 E. MORRIS ST., REPUBLIC, MO 65738-2718
(417) 300-3192
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2008015714
MO
225X00000X
Occupational Therapist
Primary
2013038646
MO
Other
Enumeration date
12/31/2009
Last updated
08/08/2025
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