Individual
MARTHA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
625 N CARRIAGE PKWY, SUITE 110, WICHITA, KS 67208-4510
(316) 684-8735
(316) 684-2128
Mailing address
10120 W WESTLAKES CT, WICHITA, KS 67205-5220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1700740
KS
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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