Individual
JENNIFER LYNN LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2915 STRONG AVE, SPECTRUM HOME HEALTH, KANSAS CITY, KS 66106-9742
(913) 831-2979
Mailing address
15516 POPLAR ST, BASEHOR, KS 66007-9742
(913) 724-3161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00456
KS
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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