Individual
DEENA K LIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
100 W 16TH ST, EUREKA, KS 67045-1064
(615) 896-6400
Mailing address
3109 STEVEN ST, AUGUSTA, KS 67010-2506
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800056
KS
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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