Individual
MARY T VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6111
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 786-6111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02629
KS
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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