Individual
DEANA J ANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6405 METCALF AVE, SUITE 220, OVERLAND PARK, KS 66202-3931
(913) 831-2721
(913) 384-0127
Mailing address
6405 METCALF AVE, SUITE 220, OVERLAND PARK, KS 66202-3931
(913) 831-2721
(913) 384-0127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
115996
MO
225200000X
Physical Therapy Assistant
14-00216
KS
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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