Individual
SHAWNA L LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
223 BEDFORD ST, GARDNER, KS 66030-1185
(615) 896-6400
Mailing address
273 W FOUNTAIN CIR, GARDNER, KS 66030-1933
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01988
KS
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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