Organization
KC DEVELOPMENTAL THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CHRISTINE TRITZ OTD, OTRIL (CO OWNER/OT)
(816) 332-6138
Entity
Organization
Contact information
Practice address
3795 W. 95TH ST, OVERLAND PARK, KS 66206
(913) 286-0422
(844) 380-0832
Mailing address
3795 W. 95TH ST, OVERLAND PARK, KS 66206
(913) 286-0422
(844) 380-0832
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
17-02461
KS
225XP0200X
Pediatric Occupational Therapist
2007036385
MO
235Z00000X
Speech-Language Pathologist
2006020242
MO
235Z00000X
Speech-Language Pathologist
Primary
2666
KS
Other
Enumeration date
09/03/2013
Last updated
11/19/2019
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