Individual
JOE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 N WOODLAWN ST, SUITE 420, WICHITA, KS 67208-1852
(316) 260-2424
Mailing address
10 DRURY LN, EASTBOROUGH, KS 67207-1004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01230
KS
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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