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Individual

FAITH S ROLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2 E GREGORY BLVD # 200, KANSAS CITY, MO 64114-1118
(816) 926-0208
Mailing address
13221 HARDY ST APT 12301, OVERLAND PARK, KS 66213-7818

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-03988
KS
225200000X
Physical Therapy Assistant
Primary
2022036840
MO

Other

Enumeration date
08/03/2022
Last updated
09/14/2022
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