Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDISA PETTIFORD, OTA
ActiveOccupational Therapy Assistant · BELTON, MO
Registration Details
- NPI Number
- 1982908836
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2011 (15.285197349692 yrs)
- Last Updated
- Oct 25, 2012
- License
-
2011006042 (MO)
Practice Information
- Address
-
17134 BEL RAY PLBELTON, MO, 640125331Browse MO providers · Browse ZIP 64012
- Phone
- 8163180436
- Fax
- 8163180437
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BELTON, MO
| Name | Credential | NPI |
|---|---|---|
| MIRANDA ENGELHARDT ABATE | COTA | 1497033542 |
| MRS. MICHELLE STACY | COTA/L | 1689432718 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.