Individual
HAZEL NMI EBBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 S 1ST ST, IOLA, KS 66749-3505
(620) 365-1062
(620) 365-1199
Mailing address
603 S SYCAMORE ST, IOLA, KS 66749-3828
(620) 365-9359
(620) 365-1199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01192
KS
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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