Individual
MRS. MISTY ONTIBEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPTA
Contact information
Practice address
2020 CENTRAL AVE, DODGE CITY, KS 67801-6411
(620) 227-1371
(620) 227-1208
Mailing address
2020 CENTRAL AVE, DODGE CITY, KS 67801
(620) 227-1371
(620) 227-1208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01100
KS
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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