Individual
ELODIE ROSE AHOMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(319) 432-1640
Mailing address
5008 NW FLINTRIDGE RD, RIVERSIDE, MO 64150-3500
(319) 432-1640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022031061
MO
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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