Individual
MADISON SHELBI BISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
571 S SPRING CREEK DR, DERBY, KS 67037-1335
(316) 640-4890
Mailing address
571 S SPRING CREEK DR, DERBY, KS 67037-1335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01414
KS
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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