Individual
MR. ANDREW SHANE MCMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1501 S HOLLY DR, LIBERAL, KS 67901-2156
(620) 624-0130
Mailing address
PO BOX 31, LIBERAL, KS 67905-0031
(319) 784-7736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
000932
IA
225X00000X
Occupational Therapist
Primary
444409
KS
Other
Enumeration date
07/16/2015
Last updated
03/09/2021
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