Individual
MRS. SANDRA MARIE NIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
105 N HGWY 99 AND MAIN, WESTMORELAND, KS 66549
(785) 457-3817
(785) 457-3817
Mailing address
302 S PINE ST, WESTMORELAND, KS 66549
(785) 457-3561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
N075005
KS
Other
Enumeration date
01/29/2007
Last updated
10/09/2007
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