JANELLE FORRISTAL

MERRIAM, KS
NPI1710215975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KS  17-00880)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  002241)
Enumeration Date2009-11-30
Last Update Date2009-11-30
Business Address
-- JANELLE FORRISTAL
10000 W 75TH ST SUITE 250
MERRIAM, KS 66204-2209
Phone number: 913-894-1910
Mailing Address
-- JANELLE FORRISTAL
5105 LAKECREST DR
SHAWNEE, KS 66218-9086
Phone number: