Individual
MRS. HEATHER SUSAN DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1401 CHERRY LN, GREAT BEND, KS 67530-3152
(620) 792-2165
Mailing address
422 E 5TH ST, KINSLEY, KS 67547-1106
(620) 659-3753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02795
KS
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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