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1720322100
MARTI S WORMAN
WICHITA, KS
NPI
1720322100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: KS 18-00282)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
-- MARTI S WORMAN COTA/L
2020 N TYLER RD
WICHITA, KS 67212-4905
Phone number: 316-295-4591
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Mailing Address
-- MARTI S WORMAN COTA/L
843 N WESTVIEW DR
DERBY, KS 67037-1856
Phone number: 316-788-9777
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