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Individual

CORY AUGUST BORSDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
929 N ST FRANCIS ST FL TOWER6, WICHITA, KS 67214-3821
(316) 261-8303
Mailing address
3013 SW FULTON RD, TOWANDA, KS 67144-9110
(316) 755-6902

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00904
KS

Other

Enumeration date
06/14/2022
Last updated
06/14/2022
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