Individual
MARLA FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
634 SW MULVANE ST STE 404, TOPEKA, KS 66606-1678
(785) 295-8045
(785) 295-5415
Mailing address
634 SW MULVANE ST STE 404, TOPEKA, KS 66606-1678
(785) 295-8045
(785) 295-5415
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1400632
KS
282N00000X
General Acute Care Hospital
1400632
KS
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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