Stephanie M Anderson, OTR/L, CLT

Individual provider Active NPI Occupational Therapist · Lenexa, KS

NPI 1104361286 · NPPES record last updated Dec 28, 2016

Key facts

NPI
1104361286
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-02946 (KS)
Practice address
8325 Lenexa Dr
Lenexa, KS 66214-1654
Phone
(913) 652-9229
Fax
(913) 652-9198
NPI assigned
Dec 28, 2016
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

State licenses

LicenseStateTypeSpecialty
17-02946KSMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02946 KS Yes

Addresses

Primary practice location

8325 Lenexa Dr
Lenexa, KS 66214-1654

Mailing address

2226 Delaware Rd
Pomona, KS 66076-9333

Other providers in Lenexa, KS

All providers in Lenexa, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.