Individual
MS. GEORGETTE CUMMINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5808 W 8TH ST N, WICHITA, KS 67212-2802
(316) 945-3606
Mailing address
2101 W MACARTHUR RD, LOT 507, WICHITA, KS 67217-6010
(316) 806-3504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00117
KS
Other
Enumeration date
01/28/2007
Last updated
01/02/2015
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