Individual
LISA MARIE YODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4816 HIGHWAY 59, BALDWIN CITY, KS 66006-9241
(785) 418-6391
Mailing address
4816 HIGHWAY 59, BALDWIN CITY, KS 66006-9241
(785) 418-6391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-04323
KS
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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