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Individual

MRS. EVELYN M OTSUKA-DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
10300 W 103RD ST STE 300, OVERLAND PARK, KS 66214-2658
(913) 894-1910
Mailing address
1228 W 63RD ST, KANSAS CITY, MO 64113-1513
(816) 523-5929

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00696
MO
235Z00000X
Speech-Language Pathologist
2834
KS
235Z00000X
Speech-Language Pathologist
Primary
505875

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00696
MO
MO
01
2834
KS
KS
Enumeration date
02/13/2008
Last updated
02/13/2008
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