Individual
GLORIA JUNE CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
320 W 8TH ST, HAYS, KS 67601-4406
(785) 650-2368
Mailing address
320 W 8TH ST, HAYS, KS 67601-4406
(785) 650-2368
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
916573
KS
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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