Individual
JUSTEN BLARE CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10665 W 13TH ST N, WICHITA, KS 67212-5600
(316) 285-1348
Mailing address
237 S GRAND MERE CT, WICHITA, KS 67230-6428
(316) 304-8786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T-05645
KS
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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