Individual
SHERRY ELAINE HORVATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
910 LEWIS DR, LEAVENWORTH, KS 66048-8509
(913) 306-2448
Mailing address
910 LEWIS DR, LEAVENWORTH, KS 66048-8509
(913) 306-2448
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
18-00484
KS
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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