Individual
JESSICA CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14820 E 42ND ST S, INDEPENDENCE, MO 64055-4775
(816) 695-1255
Mailing address
710 GOLF ST, ODESSA, MO 64076-1468
(816) 565-3158
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2021043580
MO
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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