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1558954396
MEGAN N WICKERSHAM
OLATHE, KS
NPI
1558954396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03823)
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
MEGAN N WICKERSHAM PTA
20911 W 153RD ST
OLATHE, KS 66061-6219
Phone number: 913-397-2900
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Mailing Address
MEGAN N WICKERSHAM PTA
4916 W 108TH TER APT 727
OVERLAND PARK, KS 66211-1263
Phone number: 417-496-4524
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