Individual
KELLEY IRENE HULTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4409 N WASSERMAN WAY, SALINA, KS 67401-9247
(785) 577-3161
Mailing address
4409 N WASSERMAN WAY, SALINA, KS 67401-9247
(785) 577-3161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00920
KS
Other
Enumeration date
06/10/2018
Last updated
06/10/2018
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