Individual
STACY L BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3204 W 92ND ST, LEAWOOD, KS 66206-1728
(816) 678-8100
Mailing address
3204 W 92ND ST, LEAWOOD, KS 66206-1728
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
120004
MO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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