Individual
MELYSSA WARREN-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5808 W 8TH ST N, WICHITA, KS 67212-2802
(316) 945-3606
Mailing address
5808 W 8TH ST N, WICHITA, KS 67212-2802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-03869
KS
Other
Enumeration date
01/10/2015
Last updated
01/10/2015
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