Individual
RACHAEL MARIE ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
712 N MONROE AVE, SEDGWICK, KS 67135-9492
(316) 772-5185
Mailing address
3950 S GILDA CIR, WICHITA, KS 67215-1768
(316) 282-6144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00716
KS
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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