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General NPI Number Information
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NPI Number | 1730001231
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Entity Type | Individual
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Provider Name | TAEA REISWIG OTD/ OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 9229 E 37TH ST N STE 201
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City | WICHITA
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State | KS
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Zip | 67226-2025
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Country | US
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Telephone | 316-655-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 12025 W 33RD ST N
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City | WICHITA
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State | KS
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Zip | 67205-7817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 17-04645
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License Number State | KS
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