Individual
TRICIA KATHLEEN GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
260 N MAIN ST, BLDG 100, HAYSVILLE, KS 67060-1272
(316) 524-3738
(316) 522-2752
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00601
KS
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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