Individual
SAMANTHA KRIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21250 W 151ST ST, OLATHE, KS 66061-8100
(913) 731-1857
Mailing address
21250 W 151ST ST, OLATHE, KS 66061-8100
(913) 731-1857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01278
KS
Other
Enumeration date
12/23/2016
Last updated
12/23/2016
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