Individual
CONNIE SCASSELLATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
398 BLUE JAY DR, LIBERTY, MO 64068-1977
(816) 407-2315
(816) 407-1555
Mailing address
2609 GLENN HENDREN DR, LIBERTY, MO 64068-3313
(816) 407-4555
(816) 781-6973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004863
MO
Other
Enumeration date
06/30/2017
Last updated
03/15/2018
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