Individual
LISA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14878 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 257-5808
(844) 270-5788
Mailing address
14878 METCALF AVE, OVERLAND PARK, KS 66223-2206
(913) 257-5808
(844) 270-5788
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
07-01452
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-01452
STATE OF KANSAS LICENSE
KS
Enumeration date
10/07/2015
Last updated
10/07/2015
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