Individual
MARTI S WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2020 N TYLER RD, WICHITA, KS 67212-4905
(316) 295-4591
Mailing address
843 N WESTVIEW DR, DERBY, KS 67037-1856
(316) 788-9777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00282
KS
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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