Individual
KAYLA MAE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
408 E MAIN ST, GOESSEL, KS 67053-5302
(620) 367-2291
Mailing address
6122 N EDWARDS ST, WICHITA, KS 67204-1600
(191) 360-2065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01194
KS
225X00000X
Occupational Therapist
Primary
17-04125
KS
Other
Enumeration date
03/18/2016
Last updated
02/17/2023
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