Susan Cavender, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Warrensburg, MO

NPI 1447595673 · NPPES record last updated Nov 29, 2012

Key facts

NPI
1447595673
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2007035701 (MO)
Practice address
503 Regent Drive
Warrensburg, MO 64093-0000
Phone
(660) 429-4331
NPI assigned
Nov 28, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2007035701MOMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2007035701 MO Yes

Addresses

Primary practice location

503 Regent Drive
Warrensburg, MO 64093-0000

Mailing address

3520 Weaver School Rd
Odessa, MO 64076-6289
Phone (816) 633-4663

Other providers in Warrensburg, MO

All providers in Warrensburg, MO · Occupational Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.