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Individual

MRS. SARA JANE JOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
4507 N 111TH ST, KANSAS CITY, KS 66109-4730
(913) 400-7296

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800571
KS
224Z00000X
Occupational Therapy Assistant
2004024058
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1800571
STATE LISCENSE
KS
01
2004024058
STATE LICENSE
MO
Enumeration date
03/15/2007
Last updated
07/08/2007
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