Individual
MRS. LAURA DIANE VALLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
11703 E CRESTWOOD ST, WICHITA, KS 67206-5503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
62-1626490
KS
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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