Individual
BREANNA MARY STROHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1313 S HIGH ST, EL DORADO, KS 67042-3751
(316) 320-4140
Mailing address
6041 W YORK ST, WICHITA, KS 67215-1813
(785) 640-7597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01470
KS
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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