Individual
MRS. CHARLENE MARIE MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2035 SW BOWMAN COURT, TOPEKA, KS 66604-3316
(785) 273-9979
Mailing address
2035 SW BOWMAN COURT, TOPEKA, KS 66604-3316
(785) 273-9979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00462
KS
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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