Individual
MICHELLE R CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1030 EDMONDS ST, JEFFERSON CITY, MO 65109-5213
(615) 896-6400
Mailing address
5501 BRADFORD CT, JEFFERSON CITY, MO 65101-9267
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004027926
MO
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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