Individual
ANGELA LUCILLE SAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, MBA
Contact information
Practice address
23351 PRAIRIE STAR PKWY STE A125, LENEXA, KS 66227-7303
(913) 676-8610
Mailing address
12453 W 105TH ST, OVERLAND PARK, KS 66215-2227
(913) 944-1103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07701
KS
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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