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Individual

DIANE JEANETTE CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2812 W 61 ST N, REHAB & CONSULTING PA, WICHITA, KS 67204
(316) 993-0188
(316) 755-0180
Mailing address
2812 W 61ST N, WICHITA, KS 67204
(316) 755-0180
(316) 755-0180

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10751
PPK
KS
01
140214
BCBS
KS
05
4887316701
KS
Enumeration date
06/01/2007
Last updated
07/08/2007
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