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NPI Code Detail

MEDICARE: LISA MARIE WAINSCOTT OTR/L, CLT, CDP

MEDICARE: LISA MARIE WAINSCOTT OTR/L, CLT, CDP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist17-02842KS

General Provider Information

NPI Number : 1699977256
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE WAINSCOTT OTR/L, CLT, CDP
Provider Business Mailing Address
First Line : 3910 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2946
Country : US
Telephone Number : 913-901-8462
Fax Number :
Provider Business Practice Location Address
First Line : 3910 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2946
Country : US
Telephone Number : 913-901-8462
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 03/01/2022

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