Individual
SHAWNA WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3500 N ROCK RD STE 101, WICHITA, KS 67226-1341
(316) 440-3316
Mailing address
13818 E CAMDEN CHASE CT, WICHITA, KS 67228-8040
(316) 641-6716
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-01783
KS
225XP0200X
Pediatric Occupational Therapist
17-01783
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200862670
—
KS
Enumeration date
09/30/2009
Last updated
03/30/2018
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