Individual
MS. ANDRA L MIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
610 N MAIN STREET, WICHITA, KS 67203-3601
(316) 440-1600
(316) 440-1675
Mailing address
610 N MAIN ST, WICHITA, KS 67203-3618
(316) 440-1600
(316) 440-1675
Taxonomy
Speciality
Code
Description
License number
State
224ZL0004X
Low Vision Occupational Therapy Assistant
Primary
18-00764
KS
Other
Enumeration date
06/24/2011
Last updated
09/27/2012
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