Individual
MRS. DIANE DELORES SKIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10560 BARKLEY ST, SUITE 330, OVERLAND PARK, KS 66212-1811
(913) 652-9229
Mailing address
1123 S 55TH ST, KANSAS CITY, KS 66106-1512
(913) 287-1230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01448
KS
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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