Organization
WICHITA OCCUPATIONAL REHAB & SOLUTIONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE D MAUNZ (MA)
(316) 558-8272
Entity
Organization
Contact information
Practice address
7111 E 21ST ST N, SUITE E, WICHITA, KS 67206-1090
(316) 558-8272
(316) 558-5285
Mailing address
7111 E 21ST ST N, SUITE E, WICHITA, KS 67206-1090
(316) 558-8272
(316) 558-5285
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0424611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111239
BLUE SHIELD
KS
Enumeration date
07/08/2006
Last updated
08/30/2007
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