Mandisa Pettiford, OTA
Mandisa Pettiford, OTA is an Occupational Therapy Assistant in Belton, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
Practice location Address checks out
17134 Bel Ray PlBelton, MO 64012-5331
Phone: (816) 318-0436
Fax: (816) 318-0437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 2011006042 (MO) |
|---|
Record details
| NPI number | 1982908836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTA |
| Sole proprietor | No |
| NPI enumerated | January 7, 2011 |
| Last updated in NPPES | October 25, 2012 |
| Mailing address | 17134 Bel Ray Pl, Belton, MO 64012-5331 |
Other providers in Belton
-
Miranda Engelhardt Abate, COTA
610 Pawnee Ln, Belton, MO 64012-2939 · (816) 348-8858
-
Mrs. Michelle Stacy, COTA/L
4304 E 205th St, Belton, MO 64012-9237 · (816) 509-6227