Individual
ASHLEA SHOGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
15032 E PLYMOUTH ST, WICHITA, KS 67230-7512
(720) 252-6074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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