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Individual

AMY LEE FLAHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15027 US HIGHWAY 36, NORTON, KS 67654-5612
(785) 622-4254
Mailing address
7540 N 19TH AVE STE 200, PHOENIX, AZ 85021-7967

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18-01261
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
09/24/2019
Last updated
10/05/2021
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