Organization
MOD SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN K AMWAKE OT (PRESIDENT)
(877) 663-1919
Entity
Organization
Contact information
Practice address
605 NORTH HERSEY, BELOIT, KS 67420
(877) 663-1919
(785) 738-2028
Mailing address
PO BOX 25, 605 NORTH HERSEY, BELOIT, KS 67420
(877) 663-1919
(785) 738-2028
Taxonomy
Speciality
Code
Description
License number
State
225XE1200X
Ergonomics Occupational Therapist
Primary
17-01970
KS
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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