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Individual

JOSEPH T. EDWARD SLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10300 W 103RD ST STE 300, OVERLAND PARK, KS 66214-2658
(913) 894-1910
Mailing address
2411 S 3RD STREET PLZ, OMAHA, NE 68108-1707

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
945
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
945
STATE LICENSURE
NE
Enumeration date
03/22/2007
Last updated
07/08/2007
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