Individual
JULIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 E 21ST ST N, SUITE 107, WICHITA, KS 67206-3567
(316) 440-7000
Mailing address
12115 E 21ST ST N, SUITE 107, WICHITA, KS 67206-3567
(316) 440-7000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02094
KS
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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