Individual
LISA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
24310 W 109TH TER, OLATHE, KS 66061-8852
(913) 952-0527
Mailing address
14974 S TURNBERRY ST, OLATHE, KS 66061-6033
(816) 810-4220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01847
KS
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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