Individual
TAYLOR KLUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 BOGIE HILLS DR, COLUMBIA, MO 65201-2832
(573) 999-4925
Mailing address
101 BOGIE HILLS DR, COLUMBIA, MO 65201-2832
(573) 999-4925
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018030950
MO
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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