Individual
REBECCA LYNN WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 S HIGH ST, EL DORADO, KS 67042-3751
(316) 320-4140
Mailing address
2415 LINDEN CT, AUGUSTA, KS 67010-2270
(316) 706-5986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01464
KS
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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