Individual
MISS BECKY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02282
KS
225X00000X
Occupational Therapist
2002022195
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-02282
OCCUPATIONAL THERAPY
KS
01
—
2002022195
OCCUPATIONAL THERAPY
MO
Enumeration date
04/15/2008
Last updated
04/16/2008
Update your record
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