Individual
KAREN JULIANNE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3600
Mailing address
15622 SW HUNTER RD, AUGUSTA, KS 67010-7679
(316) 775-0521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700012
KS
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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