Individual
MARY JANE YOUNGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-0001
(913) 588-6970
(913) 588-6965
Mailing address
10703 W 115TH TER, OVERLAND PARK, KS 66210-3017
(913) 469-9625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700531
KS
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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