Individual
MS. MISSY MARIE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
602 CRESTVIEW DR, ENTERPRISE, KS 67441
(785) 226-1814
Mailing address
832 NICHOLSON RD, CHAPMAN, KS 67431-8932
(785) 226-1814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00766
KS
Other
Enumeration date
08/09/2012
Last updated
03/14/2019
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