Organization
SPROUT PEDIATRIC OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA MARIE WENDT OTR/L,BCP (OWNER)
(316) 440-3316
Entity
Organization
Contact information
Practice address
3500 N ROCK RD, BLDG 2200, STE 101, WICHITA, KS 67226-1341
(316) 440-3316
(888) 965-6885
Mailing address
PO BOX 17053, WICHITA, KS 67217-0053
(316) 944-3940
(316) 946-0694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1701783
KS
Other
Enumeration date
08/28/2013
Last updated
04/11/2018
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