Citllaly Haro-Cundiff
Individual provider Active NPI Pediatric Occupational Therapist · Chestnutridge, MO
NPI 1508774258 · NPPES record last updated Sep 1, 2026
Key facts
- NPI
- 1508774258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 2026010944 (MO)
- Practice address
- 352 Greenwood Rd
Chestnutridge, MO 65630-3059 - Phone
- (417) 551-1168
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 2026010944 | MO | Yes |
Addresses
Primary practice location
352 Greenwood Rd
Chestnutridge, MO 65630-3059
Mailing address
352 Greenwood Rd
Chestnutridge, MO 65630-3059
Phone (417) 551-1168
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.