Individual
DEBRA STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6416 LONG AVE, SHAWNEE, KS 66216-2566
(913) 631-2146
Mailing address
6416 LONG AVE, SHAWNEE, KS 66216-2566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700713
KS
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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