Individual
KIMBERLY REBEKAH LADISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2706 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2323
(816) 446-9018
Mailing address
8111 E 134TH TER, GRANDVIEW, MO 64030-3562
(913) 742-2777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018030735
MO
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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