Individual
SHAWN PETERS-BLASCYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 ZINNIA LN, LIBERAL, KS 67901-2042
(615) 896-6400
Mailing address
106 CAMBRIDGE CT, GARDEN CITY, KS 67846-9662
(620) 260-9059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702250
KS
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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