MANDISA PETTIFORD

BELTON, MO
NPI1982908836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2011006042)
Enumeration Date2011-01-07
Last Update Date2012-10-25
Business Address
MANDISA PETTIFORD OTA
17134 BEL RAY PL
BELTON, MO 64012-5331
Phone number: 816-318-0436
Mailing Address
MANDISA PETTIFORD OTA
17134 BEL RAY PL
BELTON, MO 64012-5331
Phone number: 816-318-0436
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