Individual
MADISON ELISE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 CAMPUS DR, DODGE CITY, KS 67801-2760
(620) 682-4059
Mailing address
104 CORRAL WAY APT C, DODGE CITY, KS 67801-7224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03309
KS
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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