ERIC BUSTILLOS

WICHITA, KS
NPI1538605092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-03027)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- ERIC BUSTILLOS PTA
2100 N AMIDON AVE # S208
WICHITA, KS 67203-2126
Phone number: 316-832-1116
Mailing Address
-- ERIC BUSTILLOS PTA
2100 N AMIDON AVE # S208
WICHITA, KS 67203-2126
Phone number: 316-832-1116
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