Individual
DAVID CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1630 W 2ND ST, CHANUTE, KS 66720-1930
(620) 431-4151
(620) 432-0028
Mailing address
1630 W 2ND ST, CHANUTE, KS 66720-1930
(620) 431-4151
(620) 432-0028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T-03380
KS
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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