Individual
CAROL DEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2900 N CAMPUS DR, GARDEN CITY, KS 67846-3997
(620) 276-4918
Mailing address
11235 S WEST FORK RD, GARDEN CITY, KS 67846-9099
(620) 276-4918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00276
KS
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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