Individual
MYRA LYBARGER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8343
Mailing address
21517 NW 1650TH RD, GARNETT, KS 66032-7281
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00527
KS
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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