Individual
MRS. KATHLEEN MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1113 PECAN LN, WINFIELD, KS 67156-8513
(620) 617-5464
Mailing address
1113 PECAN LN, WINFIELD, KS 67156-8513
(620) 617-5464
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02996
KS
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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