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Individual

LAURA UPTEGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7819 CONSER PL, OVERLAND PARK, KS 66204-2820
(913) 789-9900
(913) 789-9900
Mailing address
7819 CONSER PL, OVERLAND PARK, KS 66204-2820

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2016024841
MO
224Z00000X
Occupational Therapy Assistant
Primary
T-04654
KS

Other

Enumeration date
09/21/2016
Last updated
09/21/2016
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