Individual
MAREENA SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 NALL AVE STE 130, OVERLAND PARK, KS 66211-1244
(913) 663-2555
Mailing address
10701 NALL AVE STE 130, OVERLAND PARK, KS 66211-1244
(913) 663-2555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03389
KS
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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