Individual
MELANIE GRACE SOUTHWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2901 TROOST AVE, KANSAS CITY, MO 64109-1538
(816) 418-7000
Mailing address
100 E 28TH TER APT 15, KANSAS CITY, MO 64108-3342
(816) 885-0506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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