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Individual

J GONTERWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2400 PERSHING RD, KANSAS CITY, MO 64108-2500
(816) 701-4307
Mailing address
2400 PERSHING RD, KANSAS CITY, MO 64108-2500
(816) 701-4307

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-02363
KS
225XP0200X
Pediatric Occupational Therapist
2007001568
MO

Other

Enumeration date
03/08/2007
Last updated
12/07/2009
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