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1659320414
ANITA K COLLISTER
LEAVENWORTH, KS
NPI
1659320414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KS 17-00050)
Enumeration Date
2006-05-09
Last Update Date
2007-07-08
Business Address
ANITA K COLLISTER OTR
4101 S 4TH STREET TRAFFICWAY
LEAVENWORTH, KS 66048-9951
Phone number: 913-682-2000
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Mailing Address
ANITA K COLLISTER OTR
1363 E 1048 RD
LAWRENCE, KS 66047-9648
Phone number: 785-842-7318
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