Individual
WANDA LEE KASEL
Active
Individual
WANDA LEE KASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
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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