Individual
MARY ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10524 BLUEJACKET ST, OVERLAND PARK, KS 66214-3088
(913) 909-5888
Mailing address
10524 BLUEJACKET ST, OVERLAND PARK, KS 66214-3088
(913) 909-5888
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
06/07/2016
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