Individual
LAVONA WESELLE CLAYTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1611 RITCHIE ST, WINFIELD, KS 67156-5299
(620) 221-9290
Mailing address
1611 RITCHIE ST, WINFIELD, KS 67156-5299
(620) 221-9290
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00507
KS
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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