Individual
MISS KENDLE R LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25911 E 219TH ST, PLEASANT HILL, MO 64080-8100
(816) 769-3920
Mailing address
25911 E 219TH ST, PLEASANT HILL, MO 64080-8100
(816) 769-3920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01373
KS
224Z00000X
Occupational Therapy Assistant
Primary
2016032147
MO
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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