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Individual

DAWN ROCHELLE WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10000 W 75TH ST, SUITE 250, MERRIAM, KS 66204-2209
(888) 913-1910
Mailing address
1000 STONE BROOK LN, GRAIN VALLEY, MO 64029-8402

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-00641
KS
224Z00000X
Occupational Therapy Assistant
Primary
2006031983
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18-00641
KANSAS STATE BOARD OF HEALING ARTS
KS
01
2006031983
STATE OF MISSOURI
MO
Enumeration date
10/09/2008
Last updated
10/09/2008
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