Individual
ANGELA WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10600 MASTIN ST, OVERLAND PARK, KS 66212-5723
(913) 681-0606
(913) 338-1311
Mailing address
11755 W 112TH ST, STE 202, OVERLAND PARK, KS 66210-2742
(913) 469-0503
(913) 338-1311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01864
KS
Other
Enumeration date
08/10/2007
Last updated
04/29/2009
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