Individual
KELLIE C ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
Mailing address
2321 W 3RD ST, CHANUTE, KS 66720-1966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03300
KS
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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