Individual
CASSANDRA FAVROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4165
Mailing address
2450 S 69TH ST, KANSAS CITY, KS 66106-5138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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