Individual
WANDA LEE KASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14115 LOVERS LN, CULPEPER, VA 22701-4157
(480) 209-5796
Mailing address
4490 CORRAL RD, WARRENTON, VA 20187-5812
(480) 209-5796
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119008596
VA
225XP0200X
Pediatric Occupational Therapist
1664
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468290
AHCCCS
AZ
Enumeration date
05/10/2007
Last updated
05/18/2020
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