Individual
MRS. CORRINA LEA HEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
Mailing address
621 W 21ST STREET, ANDOVER, KS 67002
(316) 733-1349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800821
KS
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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