Individual
MRS. RHONDA KAY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-3697
Mailing address
342 SIMPSON RD, EL DORADO, KS 67042-3033
(316) 320-9263
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01357
KS
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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