Individual
GRANT HAYWARD AUTREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTR
Contact information
Practice address
7220 SW ASBURY DR, TOPEKA, KS 66614-4706
(854) 789-4407
Mailing address
7220 SW ASBURY DR, TOPEKA, KS 66614-4706
(785) 478-9440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03549
KS
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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