Individual
GWENDOLYN K ZACHARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2932
(615) 896-6400
Mailing address
13095 NW HAWTHORNE DR, PLATTE CITY, MO 64079-7900
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800682
KS
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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