Individual
DANA RACHELLE MATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Mailing address
2778 N WEBB RD, WICHITA, KS 67226-8112
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01076
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200689870A
—
KS
Enumeration date
03/15/2007
Last updated
03/29/2011
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