Healthcare Provider Details

I. General information

NPI: 1952597130
Provider Name (Legal Business Name): ALISSA M. OUDEJANS O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS ALISSA M. JANIS

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 INDIAN CREEK PKWY
OVERLAND PARK KS
66207-4030
US

IV. Provider business mailing address

4001 INDIAN CREEK PKWY
OVERLAND PARK KS
66207-4030
US

V. Phone/Fax

Practice location:
  • Phone: 913-385-0075
  • Fax: 913-385-0076
Mailing address:
  • Phone: 913-385-0075
  • Fax: 913-385-0076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number2007014197
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number17-02870
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: