Individual
MRS. JUANITA REBECCA VOLLNOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
108 N WALNUT ST, INMAN, KS 67546-8016
(620) 712-1041
Mailing address
11111 E 4TH AVE, HUTCHINSON, KS 67501-8683
(620) 669-3571
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
T-03815
KS
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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