Individual
LISA JANE GRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
QUANTUM HEALTH PROFESSIONALS, 10300 W 103RD ST., SUITE 300, OVERLAND PARK, KS 66214
(913) 894-1910
Mailing address
20914 W 58TH ST, SHAWNEE, KS 66218-8401
(913) 327-9166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3675
KS
174400000X
Specialist
9725
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3675
PHYSICAL THERAPIST LICENS
KS
01
—
9725
PHYSICAL THERAPIST LICENS
MA
Enumeration date
04/12/2007
Last updated
07/08/2007
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