Cora Jean Underwood, COTA
Occupational Therapy Assistant in Wichita, KS. Individual provider (NPI-1).
NPI number1982117610
StatusActive
Last updated in NPPESNov 16, 2017
Details
- NPI
- 1982117610
- Entity type
- Individual (NPI-1)
- Name
- Cora Jean Underwood
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2017
- Last updated
- Nov 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 18-01000 | KS | Yes |
Practice location
622 N Edgemoor StWichita, KS 67208-3602
Phone 316-686-5100
Mailing address
1743 S Lark CtWichita, KS 67209-4400
Phone 316-204-2424
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All 90 Occupational Therapy Assistant providers in Wichita · All 13,560 providers in Wichita
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