Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 17-00230 | KS |
N | 225XG0600X | Occupational Therapist - Gerontology | 1700230 | KS |
NPI | 1356596530 |
---|---|
Provider Name | Jan Louise Josserand-Lindner |
First Address | Wichita, KS 67218-1607 |
Second Address | Wichita, KS 67218-1607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 01/12/2008 |