CHARLIEY AMBER STAAB

MERRIAM, KS
NPI1508287772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-02715)
Enumeration Date2013-12-13
Last Update Date2014-10-08
Business Address
-- CHARLIEY AMBER STAAB
10000 W 75TH ST STE 250
MERRIAM, KS 66204-2218
Phone number: 785-577-6326
Mailing Address
-- CHARLIEY AMBER STAAB
11307 W 65TH ST APT 102
SHAWNEE, KS 66203-5514
Phone number: 785-577-6326
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