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1861149668
TRISTA LAINE WISELY
DERBY, KS
NPI
1861149668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KS 17-02518)
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
MRS. TRISTA LAINE WISELY OTR/L
731 N KLEIN CIR
DERBY, KS 67037-7011
Phone number: 316-719-2400
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Mailing Address
MRS. TRISTA LAINE WISELY OTR/L
235 N TYLER RD
WELLINGTON, KS 67152-8035
Phone number: 913-620-9986
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