SHANTISHA PORTER

PRAIRIE VILLAGE, KS
NPI1033555271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-00928)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
-- SHANTISHA PORTER
3965 W 83RD ST SUITE 233
PRAIRIE VILLAGE, KS 66208-5308
Phone number: 913-789-9900
Mailing Address
-- SHANTISHA PORTER
3965 W 83RD ST SUITE 233
PRAIRIE VILLAGE, KS 66208-5308
Phone number: 913-789-9900
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