Individual
THRESA MARY KUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15301 W 87TH ST, SUITE 200, LENEXA, KS 66219-1401
(913) 492-4888
Mailing address
302 W HARRISON ST, BRUNSWICK, MO 65236-1021
(816) 589-9460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004032
MO
225X00000X
Occupational Therapist
Primary
17-01324
KS
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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