Individual
MAYRA J CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6830 W 121ST CT, OVERLAND PARK, KS 66209-2021
(913) 239-8777
(913) 239-0268
Mailing address
911 PACIFIC AVE, KANSAS CITY, KS 66101-3624
(913) 709-7848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03215
KS
225200000X
Physical Therapy Assistant
2017030860
MO
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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