Individual
MR. ONESMUS K. MUTINDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
621 W 21ST ST, ANDOVER, KS 67002-8498
(316) 733-1349
Mailing address
1146 W SUMAC, ANDOVER, KS 67002-8129
(316) 733-4867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01630
KS
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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