Individual
MR. BRIAN WAYNE GOATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
551 N HILLSIDE ST, SUITE 230, WICHITA, KS 67214-4923
(316) 962-2949
Mailing address
8302 W PALMETTO CIR, WICHITA, KS 67205-5213
(405) 714-5052
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
941
OK
Other
Enumeration date
03/12/2008
Last updated
06/22/2011
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