Individual
COBY CEDARHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5100 INDIAN CREEK PKWY, OVERLAND PARK, KS 66207-4115
(913) 967-5222
Mailing address
545 JEFFERSON CIR, LIBERTY, MO 64068-1440
(816) 679-4287
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2015018415
MO
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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