SearchMissouriOccupational Therapy Assistant

Mandisa Pettiford, OTA

NPI 1982908836 · on the registry since 2011

Practice

Address
17134 Bel Ray Pl
Belton, MO 64012
Phone
(816) 318-0436
Fax
(816) 318-0437
Organisation at this address
Serc Hand Of Cass County Llc
Serc Hand Of Cass County L.L.C.
Serc Rehabilitation Partners Llc
Serc Rehabilitation Partners, Llc
Serc Rehabilitation Partners, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri