Provider Demographics
NPI:1063637908
Name:BIDDISON, MARGARET SUE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:SUE
Last Name:BIDDISON
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8308 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1542
Mailing Address - Country:US
Mailing Address - Phone:913-381-1261
Mailing Address - Fax:
Practice Address - Street 1:11901 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-3533
Practice Address - Country:US
Practice Address - Phone:913-345-1745
Practice Address - Fax:913-345-1346
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00163224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant