Individual
PAIGE REBECCA CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 432-5379
Mailing address
402 OHIO ST, COFFEYVILLE, KS 67337-2836
(620) 688-2515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03920
KS
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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