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Individual

SAMANTHA GRABER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3500 N ROCK RD BLDG 2200, STE 101, WICHITA, KS 67226-1341
(316) 440-3316
(888) 965-6885
Mailing address
3500 N ROCK RD BLDG 2200, STE 101, WICHITA, KS 67226-1341
(316) 440-3316
(888) 965-6885

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01212
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18-01212
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
02/11/2017
Last updated
02/11/2017
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