Individual
MRS. ALINE BOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
7720 SW ASBURY DR, TOPEKA, KS 66614
(785) 478-9440
Mailing address
3210 NW SOSIVA LN, TOPEKA, KS 66617-1132
(785) 246-2375
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
14-00620
KS
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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