Individual
CORA PETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E TEAL LN, CHENEY, KS 67025-9192
(316) 542-9973
Mailing address
420 E TEAL LN, CHENEY, KS 67025-9192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01638
KS
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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