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Individual

DR. BROOKE ALEXA MULLENDORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, OTD

Contact information

Practice address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 526-5117
(816) 443-5692
Mailing address
105 SW EAGLES PKWY, GRAIN VALLEY, MO 64029-8512
(816) 526-5117
(816) 443-5692

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/04/2023
Last updated
01/10/2024
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