MS. Diane Etzel-Wise, CTRS

NPI #1346364676 in Lenexa, Kansas

Provider Information

NPI Number
1346364676
Entity Type
Individual
Name
MS. Diane Etzel-Wise, CTRS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Recreation Therapist
Credential
CTRS
Enumeration Date
Mar 19, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7737 DARNELL ST
City
Lenexa
State
Kansas
ZIP Code
66216-3705
Phone
(913) 268-3953

Specialties & Taxonomy Codes

Specialty
Recreation Therapist

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