Organization
WHEATLAND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LADESSA FORREST OTR/L (MANAGER)
(316) 773-7975
Entity
Organization
Contact information
Practice address
1401 CHERRY LN, GREAT BEND, KS 67530-3152
(316) 792-2165
Mailing address
10207 YOSEMITE DR, WICHITA, KS 67215-1580
(316) 773-7975
(316) 773-9766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01870
KS
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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