ADRIAN MATTA

WICHITA, KS
NPI1013311430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  327642)
Enumeration Date2014-10-14
Last Update Date2014-10-14
Business Address
-- ADRIAN MATTA
1915 FARMSTEAD STREET
WICHITA, KS 67208
Phone number: 316-210-1486
Mailing Address
-- ADRIAN MATTA
1915 FARMSTEAD STREET
WICHITA, KS 67208
Phone number: 316-210-1486