Individual
KANDRA BROCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
102 W BOTKIN ST, WELLINGTON, KS 67152-2302
(620) 326-7437
Mailing address
102 W BOTKIN ST, WELLINGTON, KS 67152-2302
(620) 326-7437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00710
KS
Other
Enumeration date
02/06/2011
Last updated
02/06/2011
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