Individual
JASON ROSKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10396 S RIDGEVIEW RD, OLATHE, KS 66061-6436
(913) 599-4600
Mailing address
6885 W 151ST ST, OVERLAND PARK, KS 66223-2507
(913) 897-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05440
KS
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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