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VALLERIE L SWEETON PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1295900397

Individual Registrant:
 VALLERIE L SWEETON PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6968 SE 20TH ST  BAXTER SPRINGS, KS 66713-3101 US
Tel: 620-674-3346  Fax: 620-674-3233

Contact information for business:
6968 SE 20TH ST  BAXTER SPRINGS, KS 66713-3101 US
Tel: 620-674-3346  Fax: 620-674-3233

Registration Information:
NPI: 1295900397
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
KS14-01932

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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