Individual
KATHRYN TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12838 E CHERRY CREEK CT, WICHITA, KS 67230-7556
(316) 617-9589
Mailing address
12838 E CHERRY CREEK CT, WICHITA, KS 67230-7556
(316) 617-9589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-04096
KS
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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