Individual
MRS. CHASTITY DAWN BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
704 S MAIN ST, HILLSBORO, KS 67063-1530
(620) 897-7796
Mailing address
130 ILLINOIS ST, LITTLE RIVER, KS 67457-9161
(620) 897-7796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00358
KS
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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