Individual
KATE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7000
Mailing address
6125 NE 118TH ST, KANSAS CITY, MO 64156-5700
(816) 695-1847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2018031704
MO
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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