| NPI | 1861815532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN REARDON Occupational Therapist/Owner 913-515-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2011024109) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: KS KS 11-04892) |
| 225X00000X Occupational Therapist (Licence: KS 1702875) | |
| 235Z00000X Speech-Language Pathologist (Licence: KS 2011013398) | |
| 235Z00000X Speech-Language Pathologist (Licence: MO 2011013608) | |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2015-05-05 |