Individual
MARK GITAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6460 N COSBY AVE, KANSAS CITY, MO 64151-2301
(316) 992-6442
Mailing address
4425 CAMBRIDGE ST, KANSAS CITY, KS 66103-3505
(316) 992-6442
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2009012407
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
17-02467
KS
Other
Enumeration date
03/18/2013
Last updated
04/11/2024
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