Individual
LORI GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2280 S MINNEAPOLIS ST, WICHITA, KS 67211-5318
(615) 896-6400
Mailing address
620 RED BARN LN, WICHITA, KS 67212-3541
(316) 729-9641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02151
KS
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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