Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 2015003624 | MO |
NPI | 1013309558 |
---|---|
Provider Name | Allison Sweeney |
First Address | Imperial, MO 63052-3884 |
Second Address | Belton, TX 76513-7453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2015 |
Last Update Date | 20/01/2021 |