Marilyn Runyon, OTR/L
Individual provider Active NPI Occupational Therapist · Overbrook, KS
NPI 1093072779 · NPPES record last updated Apr 18, 2012
Key facts
- NPI
- 1093072779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 17-01563
- Practice address
- 700 W 7TH St
Overbrook, KS 66524-9496 - Phone
- (785) 665-7124
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17-01563 | Yes |
Addresses
Primary practice location
700 W 7TH St
Overbrook, KS 66524-9496
Mailing address
700 W 7TH St
Overbrook, KS 66524-9496
Phone (785) 665-7124
Other providers in Overbrook, KS
- Bruce D Cole DDS PA
- Stacey Ann Lynnes
- Nouba Living & Healthcare, Inc
- Overbrook Family Dentistry
- Overbrook Family Health Clinic Inc
- Danielle R Watts
- Danine Theresa Willis
- Haley Leann Zajic
All providers in Overbrook, KS · Occupational Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.