Organization
ACHIEVE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M. GONZALES O.T. (OWNER)
(620) 792-2111
Entity
Organization
Contact information
Practice address
1410 POLK STREET, GREAT BEND, KS 67530-3619
(620) 792-2111
Mailing address
1410 POLK STREET, GREAT BEND, KS 67530-3619
(620) 792-2111
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
17-00389
KS
Other
Enumeration date
10/12/2006
Last updated
01/15/2008
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