Individual
RITA VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
639 S MAIZE CT, WICHITA, KS 67209-1337
(316) 425-5600
Mailing address
1540 EAST ST, ANDOVER, KS 67002-9559
(316) 880-9392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01602
KS
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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