Individual
SHANNON GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5901 W 107TH ST, OVERLAND PARK, KS 66207-3882
(816) 830-8921
Mailing address
3550 RAINBOW BLVD APT 224, KANSAS CITY, KS 66103-2091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03222
KS
225X00000X
Occupational Therapist
2016022559
MO
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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