Individual
LINDA ANN LIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8338 W 13TH ST N, WICHITA, KS 67212-2900
(316) 729-9999
Mailing address
2432 N CALLAHAN CT, WICHITA, KS 67205-1468
(316) 258-5919
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701449
KS
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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