Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | KS1700118 | KS |
NPI | 1053536623 |
---|---|
Provider Name | Ms. Diane Sue Grier |
First Address | Overland Park, KS 66212 |
Second Address | Overland Park, KS 66204-2996 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |