Individual
MR. MARK DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
623 COMMERCIAL ST, EMPORIA, KS 66801-3901
(620) 803-1855
(620) 208-4488
Mailing address
623 COMMERCIAL ST, EMPORIA, KS 66801-3901
(620) 803-1855
(620) 208-4488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701739
KS
Other
Enumeration date
05/25/2007
Last updated
02/21/2025
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