MALLORY A COTTAM

WICHITA, KS
NPI1144795089
Former NameMALLORY A STUCKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  1403422)
Enumeration Date2018-10-08
Last Update Date2021-01-11
Business Address
MALLORY A COTTAM PTA
3730 N RIDGE RD STE 500
WICHITA, KS 67205-1233
Phone number: 316-440-4901
Mailing Address
MALLORY A COTTAM PTA
200 W DOUGLAS AVE STE 1040
WICHITA, KS 67202-3017
Phone number: 316-263-0003
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