Individual
JENNIFER HERYNK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5820 W 85TH TER, OVERLAND PARK, KS 66207-1665
(415) 425-3970
Mailing address
5820 W 85TH TER, OVERLAND PARK, KS 66207-1665
(415) 425-3970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2013007248
MO
225XP0200X
Pediatric Occupational Therapist
Primary
17-02798
KS
225XP0200X
Pediatric Occupational Therapist
4855
CA
Other
Enumeration date
04/28/2009
Last updated
02/04/2017
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