Individual
MS. HOLLY TERESA ATLAKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2112 HIGHWAY 36, WATHENA, KS 66090-4126
(785) 989-3141
Mailing address
615 KICKAPOO ST, HIAWATHA, KS 66434-2419
(785) 741-1945
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01376
KS
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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