Individual
KATELYN PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 618-1252
(316) 869-2277
Mailing address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 618-1252
(316) 869-2277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18-01396
KS
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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