Organization
PROCARE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANOUSHA BURTON-MARTIN (SLPA)
(662) 303-3102
Entity
Organization
Contact information
Practice address
123 N EISENHOWER DR, JUNCTION CITY, KS 66441-3313
(785) 717-9340
Mailing address
303 PORTER DR, INDIANOLA, MS 38751-3717
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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