Individual
MRS. KIMBERLY REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6416 LONG AVE, SHAWNEE, KS 66216-2566
(913) 631-2146
Mailing address
241 S CHAMBERY DR, OLATHE, KS 66061-3870
(913) 406-3583
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00545
KS
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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