Individual
MARY JO JANOSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5431 MAIN STREET, KANSAS CITY, MO 64112-2823
(816) 523-5334
Mailing address
5431 MAIN STREET, KANSAS CITY, MO 64112-2823
(816) 523-5334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00674
MO
225100000X
Physical Therapist
11-00532
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16029026
BCBS OF KC MO
—
Enumeration date
05/17/2006
Last updated
07/08/2007
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