Individual
SHANNON JERRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 S 15TH ST, PARSONS, KS 67357-5125
(620) 423-0155
Mailing address
2928 APPLETON AVE, PARSONS, KS 67357
(620) 778-8440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800672
KS
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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