Individual
DEANDRA KAY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
815 N ROTHSAY AVE, MINNEAPOLIS, KS 67467-1637
(785) 392-2162
Mailing address
815 N ROTHSAY AVE, MINNEAPOLIS, KS 67467-1637
(785) 392-2162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
T-02670
KS
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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