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Individual

MRS. SARAH JEAN JOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7162 RENNER RD, SHAWNEE, KS 66217-9409
(913) 962-7770
(913) 962-7775
Mailing address
7162 RENNER RD, SHAWNEE, KS 66217-9409
(913) 962-7770
(913) 962-7775

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2006032140
MO

Other

Enumeration date
11/17/2006
Last updated
06/11/2010
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