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Individual

STACI WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2 EMANUEL CLEAVER II BLVD, KANSAS CITY, MO 64112-1654
(816) 839-4730
Mailing address
4201 W 54TH ST, ROELAND PARK, KS 66205-2406
(816) 803-4197

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01850
KS
224Z00000X
Occupational Therapy Assistant
2014019381
MO

Other

Enumeration date
08/05/2022
Last updated
08/05/2022
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