Individual
MRS. GWENDOLYN R PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3310 N 110TH ST, KANSAS CITY, KS 66109-3463
(913) 721-5335
Mailing address
3310 N 110TH ST, KANSAS CITY, KS 66109-3463
(913) 721-5335
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
Primary
2009035057
MO
225XE0001X
Environmental Modification Occupational Therapist
2009035057
MO
225XG0600X
Gerontology Occupational Therapist
2009035057
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
20090305057
MO
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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