| NPI | 1942399167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M. GONZALES Owner 620-792-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: KS 17-00389) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-01-15 |