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Individual

JENA TAYLOR LOGANBILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR

Contact information

Practice address
20911 W 153RD ST, OLATHE, KS 66061-6219
(913) 219-7309
Mailing address
20911 W 153RD ST, OLATHE, KS 66061-6219
(913) 219-7309

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04030
KS

Other

Enumeration date
03/08/2019
Last updated
08/23/2024
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