Individual
DENISE M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12917 W 76TH TER, SHAWNEE, KS 66216-3103
(913) 962-2365
Mailing address
12917 W 76TH TER, SHAWNEE, KS 66216-3103
(913) 962-2365
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-00036
KS
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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