Individual
MRS. MARY-GUYTON HOLLEY RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L CHT
Contact information
Practice address
6700 ANTIOCH RD, 430 SUITE, MERRIAM, KS 66204-1258
(913) 652-9229
Mailing address
1233 ARNO RD, KANSAS CITY, MO 64113-2010
(816) 444-4891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KS-1702374
KS
Other
Enumeration date
03/02/2009
Last updated
05/13/2010
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