Individual
DESIRE' WOOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
514 EASTVIEW DR, MULVANE, KS 67110-1418
(620) 960-1946
Mailing address
514 EASTVIEW DR, MULVANE, KS 67110-1418
(620) 960-1946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00894
KS
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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