Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1104385 | KS |
N | 2251P0200X | Physical Therapist - Pediatrics | 1765 | AK |
NPI | 1033294632 |
---|---|
Provider Name | Mrs. Patricia Gail Laochinda |
First Address | Wichita, KS 67202-3013 |
Second Address | Wichita, KS 67205-1227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 27/06/2012 |