Individual
MRS. MIRANDA FAITHE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2611 SW GOLF VIEW DR, TOPEKA, KS 66614-4369
(785) 806-1705
Mailing address
2611 SW GOLF VIEW DR, TOPEKA, KS 66614-4369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01709
KS
Other
Enumeration date
09/16/2010
Last updated
03/05/2014
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