Individual
NICOLE LEANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
732-734 N 7 HWY, BLUE SPRINGS, MO 64014
(816) 229-6622
Mailing address
22120 MIDLAND DR STE 1, SHAWNEE, KS 66226-3554
(913) 745-4064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-03818
KS
225X00000X
Occupational Therapist
Primary
2020038275
MO
Other
Enumeration date
02/11/2021
Last updated
12/08/2024
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