CHASE MODER

INDEPENDENCE, MO
NPI1174974158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2016016879)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
-- CHASE MODER OTR/L
3980 SOUTH JACKSON DR
INDEPENDENCE, MO 64057
Phone number: 816-795-1433
Mailing Address
-- CHASE MODER OTR/L
3980 SOUTH JACKSON DRIVE
INDEPENDENCE, MO 64057
Phone number:
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