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Individual

CHARLENE R DESMITH FOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1818 E 23RD AVE, HUTCHINSON, KS 67502-1106
(620) 669-2396
(620) 669-2394
Mailing address
800 MEDICAL CENTER DR, NEWTON, KS 67114-7808
(316) 836-4700
(620) 669-2394

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01314
KS

Other

Enumeration date
09/30/2010
Last updated
09/21/2012
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