Individual
ANGELA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9701 MONROVIA ST, LENEXA, KS 66215-1564
(913) 492-1130
Mailing address
6931 W 97TH TER, OVERLAND PARK, KS 66212-1504
(913) 579-5949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800529
KS
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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