Individual
MCKENNA LEE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
609 SYLVAN LN, WELLINGTON, KS 67152-3258
(620) 440-0671
Mailing address
609 SYLVAN LN, WELLINGTON, KS 67152-3258
(620) 440-0671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-04206
KS
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/03/2024
Last updated
11/26/2024
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