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1902663107
BRETT CHARLES DOCKTER
WICHITA, KS
NPI
1902663107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-04167)
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
Mr. BRETT CHARLES DOCKTER PTA
10100 E SHANNON WOODS CIR
WICHITA, KS 67226-4104
Phone number: 316-462-7450
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Mailing Address
Mr. BRETT CHARLES DOCKTER PTA
6205 S KANSAS RD
NEWTON, KS 67114-8784
Phone number: 316-617-6694
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