Individual
JENNIFER RYAN CRITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3965 W 83RD ST, PRAIRIE VILLAGE, KS 66208-5308
(913) 945-1215
Mailing address
3965 W 83RD ST, PRAIRIE VILLAGE, KS 66208-5308
(913) 945-1215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00987
KS
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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