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Individual

LORI DIECKHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
7322 N CRYSTAL AVE, KANSAS CITY, MO 64119-5438
(816) 838-0242
Mailing address
7322 N CRYSTAL AVE, KANSAS CITY, MO 64119-5438

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XH1300X
Human Factors Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
12/11/2006
Last updated
09/15/2008
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