Mrs Mitzi Michelle Cleary, OTD, OTR/L | |
18939 Evergreen Dr, Country Club, MO 64505-4058 | |
(816) 279-3020 | |
(816) 279-3094 |
Full Name | Mrs Mitzi Michelle Cleary |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 18939 Evergreen Dr, Country Club, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407951791 | NPI | - | NPPES |
711037536 | Other | MO | EMPLOYMENT IDENTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2003000911 (Missouri) | Primary |
225X00000X | Occupational Therapist | 17-02329 (Kansas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mrs Mitzi Michelle Cleary, OTD, OTR/L 18939 Evergreen Dr, Country Club, MO 64505-4058 Ph: (816) 279-3020 | Mrs Mitzi Michelle Cleary, OTD, OTR/L 18939 Evergreen Dr, Country Club, MO 64505-4058 Ph: (816) 279-3020 |
Mitzi M. Cleary, Otd, Otr/l, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18939 Evergreen Dr, Country Club, MO 64505 Phone: 816-383-0924 Fax: 816-279-3094 |