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Individual

CONNIE L FEASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
218 N PLEASANT ST, INDEPENDENCE SCHOOL DISTRICT, INDEPENDENCE, MO 64050-2655
(816) 521-2700
Mailing address
218 N PLEASANT ST, INDEPENDENCE, MO 64050-2655
(816) 521-2700

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000309
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
478515802
MO
Enumeration date
03/12/2007
Last updated
02/20/2009
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