Individual
ADRIENNE EILEEN EBERHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 LARAMIE ST, MANHATTAN, KS 66502-5682
(720) 412-7644
Mailing address
804 LARAMIE ST, MANHATTAN, KS 66502-5682
(720) 412-7644
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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