Individual
MIRACLE ALYSE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2712
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-2712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3782
AR
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/17/2023
Last updated
04/14/2025
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