Individual
MRS. KATHRYN JULIE LEGVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1151 N ROCK RD, WICHITA, KS 67206-1262
(515) 851-0537
Mailing address
1151 N ROCK RD, WICHITA, KS 67206-1262
(515) 851-0537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002302
IA
225X00000X
Occupational Therapist
Primary
17-02675
KS
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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