Individual
JENNA MARIE CORDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
712 1ST TER, STE 103, LANSING, KS 66043-1735
(913) 727-2022
(913) 727-2033
Mailing address
200 W DOUGLAS AVE, STE 1040, WICHITA, KS 67202-3013
(316) 263-0003
(316) 263-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02817
KS
225X00000X
Occupational Therapist
2012022632
MO
Other
Enumeration date
10/24/2012
Last updated
12/15/2014
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