Individual
MRS. SUSAN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11213 W 164TH ST, OVERLAND PARK, KS 66221-8530
(913) 972-2397
Mailing address
11213 W 164TH ST, OVERLAND PARK, KS 66221-8530
(913) 972-2397
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004281
MO
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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