Individual
MICHELLE MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
(316) 733-0919
Mailing address
866 S BEDFORD CT, WICHITA, KS 67207-4319
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11-04128
KS
Other
Enumeration date
09/12/2010
Last updated
09/12/2010
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