Individual
CHRISTINA M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MCDONALD DR, LAWRENCE, KS 66044-1055
(785) 615-1727
Mailing address
246 E 750TH RD, BALDWIN CITY, KS 66006-7272
(785) 615-1727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01830
KS
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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