Individual
DEBRA ANN GANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002885
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002885
PRIVATE,
MO
Enumeration date
08/20/2008
Last updated
08/20/2008
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