Individual
MS. MICHELLE MARIE VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 NW MURRAY RD, LEES SUMMIT, MO 64081-1455
(816) 347-2738
(816) 246-1026
Mailing address
1107 SW BLUE BRANCH DR, GRAIN VALLEY, MO 64029-9084
(913) 522-7911
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013022254
MO
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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