Individual
BRIGID O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 651-5200
Mailing address
5111 E 21ST ST N, WICHITA, KS 67208-1606
(316) 651-5200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-00603
KS
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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