Individual
JACKIE WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
4320 WORNALL RD, SUITE 600, KANSAS CITY, MO 64111-5941
(816) 932-3344
(816) 932-3993
Mailing address
4320 WORNALL RD, SUITE 600, KANSAS CITY, MO 64111-5941
(816) 932-3344
(816) 932-3993
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
17-01508
KS
225XH1200X
Hand Occupational Therapist
Primary
2001012856
MO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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