Individual
NOELLA MAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,OTD
Contact information
Practice address
8340 MISSION RD, PRAIRIE VILLAGE, KS 66206-1355
(913) 213-3531
Mailing address
2501 TROOST AVE UNIT 122, KANSAS CITY, MO 64108-2892
(816) 777-6316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04234
KS
Other
Enumeration date
11/08/2023
Last updated
11/13/2023
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