Individual
FANNY MARGARET MANDELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11228 MILITARY CLUB RD, KANSAS CITY, MO 64138-3621
(913) 362-7518
Mailing address
10000 W 75TH ST STE 121, SHAWNEE MISSION, KS 66204-2241
(913) 362-7518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-0317
KS
Other
Enumeration date
01/15/2018
Last updated
04/12/2021
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