Individual
MR. GARRY NORAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15104 S ARAPAHO DR, OLATHE, KS 66062-3050
(913) 709-5553
Mailing address
15104 S ARAPAHO DR, OLATHE, KS 66062-3050
(913) 709-5553
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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