LISA JO BOUDRIEAU

OVERLAND PARK, KS
NPI1720095995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KS  3604)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- LISA JO BOUDRIEAU PT
12000 W 110TH ST SUITE 400
OVERLAND PARK, KS 66210-3938
Phone number: 816-679-7056
Mailing Address
-- LISA JO BOUDRIEAU PT
4629 W 72ND TER
PRAIRIE VILLAGE, KS 66208-2827
Phone number: 913-831-6242