Individual
KATHRYN R GOTTFRIED RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
6265 ROCK CHALK DR, LAWRENCE, KS 66049-5232
(785) 838-7885
(785) 505-5311
Mailing address
6265 ROCK CHALK DR STE 1700, LAWRENCE, KS 66049-5232
(785) 838-7885
(785) 838-7885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-02400
KS
225X00000X
Occupational Therapist
Primary
1799
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09821325
—
NM
Enumeration date
01/05/2006
Last updated
05/29/2025
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