Individual
PAULA K THEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
560 N EXPOSITION ST, WICHITA, KS 67203-5902
(316) 618-1252
Mailing address
PO BOX 678, ANDOVER, KS 67002-0678
(316) 706-4983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01309
KS
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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