Individual
MRS. RHONDA GAYLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3424
Mailing address
6850 S 127TH ST E, DERBY, KS 67037-9067
(316) 776-0726
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
30471
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30471
NATIONAL TR CERTIFICATION
—
Enumeration date
02/12/2007
Last updated
07/08/2007
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