Individual
MIRANDA SKYE OTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, LAT, ATC
Contact information
Practice address
1855 S ROCK RD STE 155, WICHITA, KS 67207-5113
(316) 682-6333
Mailing address
215 E 17TH AVE, WINFIELD, KS 67156-4925
(620) 218-9576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT7617
TX
225X00000X
Occupational Therapist
Primary
17-04263
KS
Other
Enumeration date
08/07/2019
Last updated
02/06/2024
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