Individual
EMILY KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10136 HWY D, DIXON, MO 65459-7181
(573) 433-5900
Mailing address
10136 HWY D, DIXON, MO 65459-7181
(573) 433-5900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018031493
MO
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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