Individual
MRS. LORENA M MAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
Mailing address
36 KAHOLA RD, COUNCIL GROVE, KS 66846-8380
(620) 279-4226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00533
KS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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