TRACY STARK

WICHITA, KS
NPI1386996585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-0227)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
Mrs. TRACY STARK COTA
622 N EDGEMOOR ST
WICHITA, KS 67208-3602
Phone number: 316-686-5100
Mailing Address
Mrs. TRACY STARK COTA
1416 S GREENWOOD ST
WICHITA, KS 67211-3535
Phone number: