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Johnathan Cole Frakes

Occupational Therapy Assistant in Lees Summit, MO. Individual provider (NPI-1).

NPI number1750109161
StatusActive
Last updated in NPPESOct 3, 2024

Details

NPI
1750109161
Entity type
Individual (NPI-1)
Name
Johnathan Cole Frakes
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2024
Certification date
Oct 3, 2024
Last updated
Oct 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant––Yes

Practice location

2706 Ne Independence Ave
Lees Summit, MO 64064-2323

Phone 816-446-9018

Mailing address

403 S Pelham Path
Raymore, MO 64083-8138

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Other Occupational Therapy Assistant providers in Lees Summit, MO

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