Individual
SUSHMA GAMPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W 75TH ST STE 250, MERRIAM, KS 66204-2218
(888) 913-1174
Mailing address
1000W.75 ST.STE 250, MERRIAM, KS 66204
(888) 913-1910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05263
KS
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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