Individual
NICHOLE DAHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 SW 3RD ST, LEES SUMMIT, MO 64081-4060
(816) 518-4866
Mailing address
8303 SNI A BAR RD, KANSAS CITY, MO 64129-2231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014033924
MO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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