Individual
MRS. JULIE FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5211 W 103RD ST, OVERLAND PARK, KS 66207-3154
(913) 383-2569
Mailing address
5507 W 90TH TER, OVERLAND PARK, KS 66207-2144
(913) 231-5039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103105
KS
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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