Individual
CYNDEE MICHALE RAINBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(316) 634-2653
Mailing address
182 N BELLE TERRE ST, WICHITA, KS 67230-6920
(316) 733-8339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00603
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-00603
STATE LICENSE
KS
Enumeration date
02/23/2007
Last updated
07/08/2007
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