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Organization

THE THERAPY SPOT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH P BOMMARITO OTR/L (MANAGER)
(316) 618-1252
Entity
Organization

Contact information

Practice address
914 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 618-1252
(316) 682-2798
Mailing address
914 S HILLSIDE ST, WICHITA, KS 67211-4001
(316) 618-1252
(316) 682-2798

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01223
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831209352
TYPE 1
KS
Enumeration date
05/09/2011
Last updated
05/09/2011
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