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Individual

KARLA BETTENBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1015 S MAIN ST, MCPHERSON, KS 67460-5735
(620) 241-1825
Mailing address
2043 25TH RD, GENESEO, KS 67444-9114
(785) 472-3647

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00604
KS

Other

Enumeration date
09/09/2010
Last updated
09/09/2010
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