Individual
JACEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 W CEDAR ST, HESSTON, KS 67062-8100
(620) 327-4155
Mailing address
200 W CEDAR ST, HESSTON, KS 67062-8100
(620) 327-4155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00690
KS
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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