Individual
SARA MARIE FASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 NALL AVE, PRAIRIE VILLAGE, KS 66208-2453
(913) 269-6648
(913) 273-2572
Mailing address
7300 NALL AVE, PRAIRIE VILLAGE, KS 66208-2453
(913) 269-6648
(913) 273-2572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2025029200
MO
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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