Individual
CAROLINE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
Mailing address
846 N NORMAN ST, WICHITA, KS 67212-4461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03619
KS
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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