Individual
MARILYN ELIZABETH BOAZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
16018 W 65TH ST, SHAWNEE, KS 66217
(913) 248-1461
(913) 248-8689
Mailing address
21006 W 54TH ST, SHAWNEE, KS 66218
(913) 422-3863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1700556
KS
225X00000X
Occupational Therapist
Primary
2006000648
MO
225XH1200X
Hand Occupational Therapist
9511000065
MO
Other
Enumeration date
04/19/2006
Last updated
09/11/2025
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