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Individual

LORA L WENDLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Contact information

Practice address
13847 W 63RD ST, SHAWNEE, KS 66216-3800
(913) 962-7770
(913) 962-7775
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 226-4011
(816) 524-6115

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
1051100158
KS
225XH1200X
Hand Occupational Therapist
Primary
17-01925
KS
225XH1200X
Hand Occupational Therapist
2014008481
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33826065
BCBS KC
01
KA2868010
MEDICARE PTAN
KS
Enumeration date
06/05/2006
Last updated
03/25/2014
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