Individual
SHELSEA LIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(316) 268-5000
Mailing address
2492 SW 220TH ST, DOUGLASS, KS 67039-8472
(316) 308-7221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1703487
KS
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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