Individual
JODI A TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 MONROVIA ST, LENEXA, KS 66215-1564
(913) 492-1130
Mailing address
21707 W 95TH TER, LENEXA, KS 66220-9754
(913) 271-4223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00413
KS
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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