Individual
MERCEDES COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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