Individual
FARAH GOHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
545 N CARRIAGE PKWY, WICHITA, KS 67208-4506
(316) 612-4900
(316) 612-4999
Mailing address
545 N CARRIAGE PARKWAY, WICHITA, KS 67208-4506
(316) 612-4900
(316) 612-4999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1102277
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336410B
—
KS
Enumeration date
02/20/2006
Last updated
08/19/2008
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