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1811693443
SAMANTHA MARIE WYATT
WICHITA, KS
NPI
1811693443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-03763)
Enumeration Date
2023-02-06
Last Update Date
2023-02-06
Business Address
SAMANTHA MARIE WYATT PTA
2243 S MERIDIAN AVE STE 105
WICHITA, KS 67213-1911
Phone number: 316-942-5448
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Mailing Address
SAMANTHA MARIE WYATT PTA
200 W DOUGLAS AVE STE 250
WICHITA, KS 67202-3002
Phone number: 316-263-0003
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