| NPI | 1477656940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M PORTER President 620-345-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01284) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |