Individual
JANET HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 337-5450
Mailing address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 337-5450
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00853
KS
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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