Individual
JEAN ANN WETHERILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 E 35TH TER S, INDEPENDENCE, MO 64052-1113
(816) 358-1955
Mailing address
6344 ASH ST, PRAIRIE VILLAGE, KS 66208-1369
(913) 262-9415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MO
Other
Enumeration date
03/19/2007
Last updated
07/26/2007
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