Provider Demographics
NPI:1740351261
Name:CUEVAS, CLAUDIA BIBIANA (OTR)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:BIBIANA
Last Name:CUEVAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 EAST 26TH ST
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64804-2978
Mailing Address - Country:US
Mailing Address - Phone:417-626-0463
Mailing Address - Fax:
Practice Address - Street 1:2660 EAST 32ND ST
Practice Address - Street 2:SUITE 104
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804
Practice Address - Country:US
Practice Address - Phone:417-782-9999
Practice Address - Fax:417-782-9933
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004124225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist