Individual
JASON L WOLLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
519 MCCALL RD STE 200, MANHATTAN, KS 66502-5038
(785) 587-4220
Mailing address
519 MCCALL RD STE 200, MANHATTAN, KS 66502-5038
(785) 587-4220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01930
KS
Other
Enumeration date
06/29/2007
Last updated
05/01/2026
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