MARCY LYNETTE DEATHERAGE

KANSAS CITY, MO
NPI1669559449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  004189)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
-- MARCY LYNETTE DEATHERAGE OTR
2401 GILLHAM RD
KANSAS CITY, MO 64108-4619
Phone number: 816-234-3380
Mailing Address
-- MARCY LYNETTE DEATHERAGE OTR
16816 W 83RD TER
LENEXA, KS 66219-8072
Phone number: 913-438-3372