Individual
MRS. CONNIE LYNN FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 E FLAMING RD, OLATHE, KS 66061-5343
(913) 829-2273
Mailing address
6545 SWITZER ST, SHAWNEE, KS 66203-3938
(913) 220-6944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00280
KS
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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