Individual
MRS. LAINE MARIE BASSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8200 W 71ST ST, SHAWNEE MISSION, KS 66204-1715
(913) 475-8801
Mailing address
20707 W 108TH ST, OLATHE, KS 66061-3195
(913) 475-8801
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-02778
KS
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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