Individual
SKYLAR KAY JORGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3500 N ROCK RD, WICHITA, KS 67226-1341
(316) 440-3316
Mailing address
611 S LORRAINE AVE, WICHITA, KS 67211-3025
(316) 312-1899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-06054
KS
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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