Individual
JUANITA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 ANTIOCH RD, SUITE 430, OVERLAND PARK, KS 66204-1258
(913) 952-9225
Mailing address
15509 W 92ND PL, LENEXA, KS 66219-1923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102654
KS
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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