Individual
MICHAEL CHAFIC LARREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
650 LAKE RD, ATWOOD, KS 67730-1535
(785) 626-9015
Mailing address
7003 W 34TH ST N, APT # 908, WICHITA, KS 67205-2562
(316) 941-7898
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01190
KS
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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