Individual
KARINA CARLOS SALAZAR-DESANTORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6111
Mailing address
1110 MORPHY ST, APT 1, GREAT BEND, KS 67530-4363
(407) 406-2283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04485
KS
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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