Individual
MS. JEAN B SUBLETTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
10016 NW AMBASSADOR DT, KANSAS CITY, MO 64153
(816) 891-7162
(816) 891-6704
Mailing address
10016 NW AMBASSADOR DR, KANSAS CITY, MO 64153
(816) 891-7162
(816) 891-6704
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
000780
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20067046
BCBS
MO
Enumeration date
03/02/2006
Last updated
07/08/2007
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