Individual
AMBIKA SELVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 WAKARUSA DR, SUITE E-1, LAWRENCE, KS 66049-4722
(785) 856-7389
(785) 856-7392
Mailing address
1201 WAKARUSA DR, SUITE E-1, LAWRENCE, KS 66049-4722
(785) 856-7389
(785) 856-7392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02943
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-02943
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
12/01/2016
Last updated
12/01/2016
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