Individual
MRS. SHINA ESPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
412 HARVEST LN, MAIZE, KS 67101-6719
(316) 573-6453
Mailing address
412 HARVEST LN, MAIZE, KS 67101-6719
(316) 573-6453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-04407
KS
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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