Individual
MRS. REBECCA THRONEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2700 SOMERSET DR, PRAIRIE VILLAGE, KS 66206-1173
(913) 276-0901
Mailing address
515 NE TIMBERCREEK DR, LEES SUMMIT, MO 64086-6252
(816) 835-3902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111326
TX
225X00000X
Occupational Therapist
Primary
1702724
KS
225X00000X
Occupational Therapist
2009028082
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1100190-02
—
TX
Enumeration date
06/18/2007
Last updated
12/11/2019
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