Individual
SUSAN MARIE SOTOMAYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1605 LIMIT ST, LEAVENWORTH, KS 66048-4185
(913) 705-9998
Mailing address
1605 LIMIT ST, LEAVENWORTH, KS 66048-4185
(913) 705-9998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01464
KS
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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