JENIFER MANDEVILLE

WICHITA, KS
NPI1528488582
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KS  18-00199)
Enumeration Date2014-04-17
Last Update Date2015-01-14
Business Address
-- JENIFER MANDEVILLE COTA
2114 N 127TH ST E
WICHITA, KS 67206-3003
Phone number: 316-500-8800
Mailing Address
-- JENIFER MANDEVILLE COTA
2114 N 127TH ST E
WICHITA, KS 67206-3003
Phone number:
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