Individual
STACEY RENAE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2828 N GOVERNEOUR ST, WICHITA, KS 67226-1700
(316) 636-1000
Mailing address
2501 LAKEPOINT CT, AUGUSTA, KS 67010-2407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00198
KS
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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