Individual
MR. RICHARD DEWAYNE MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S 1ST ST, IOLA, KS 66749-3505
(620) 365-1000
Mailing address
209 W 5TH ST # GAS, IOLA, KS 66749-7062
(620) 363-1316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-03672
KS
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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