Mitzi M. Cleary, Otd, Otr/l, Inc. is a
Occupational Therapist based in Country Club, Missouri. Mitzi M. Cleary, Otd, Otr/l, Inc. is licensed to practice in Missouri (license number 2003000911) and their current practice location is
18939 Evergreen Dr, Country Club, Missouri. It can be reached at their office (for appointments etc.) via phone at
(816) 383-0924.
NPI number for Mitzi M. Cleary, Otd, Otr/l, Inc. is 1144409624 and their current mailing address is 18939 Evergreen Dr, Country Club, Missouri. Mitzi M. Cleary, Otd, Otr/l, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1144409624.
Healthcare Provider's Profile
| Full Name | Mitzi M. Cleary, Otd, Otr/l, Inc. |
|---|
| Type | Facility |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 18939 Evergreen Dr, Country Club, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144409624
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 12/07/2010
Medical Identifiers
Medical identifiers for Mitzi M. Cleary, Otd, Otr/l, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144409624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 2003000911 (Missouri) | Primary |
| 225X00000X | Occupational Therapist | 1702329 (Kansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitzi M. Cleary, Otd, Otr/l, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mitzi M. Cleary, Otd, Otr/l, Inc.
18939 Evergreen Dr,
Country Club, MO 64505-4058
Ph: (816) 383-0924 | Mitzi M. Cleary, Otd, Otr/l, Inc.
18939 Evergreen Dr,
Country Club, MO 64505-4058
Ph: (816) 383-0924 |
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