Most Relevant Information
Provider Data
| NPI Number: | 1003226515 |
| Provider Name: | JUANITA REBECCA VOLLNOGEL COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XG0600X |
| Specialty: | Occupational Therapist |
| License Number: | T-03815 |
Most Important Dates
| Enumeration Date: | 05/06/2014 |
| Last Updated: | 05/06/2014 |
Provider Practice Location
108 N WALNUT ST
INMAN
KS
675468016
Practice Location Phone/Fax
| Phone: | 6207121041 |
| Fax: |
Provider Mailing Location
11111 E 4TH AVE
HUTCHINSON
KS
675018683
Provider Mailing Phone/Fax
| Phone: | 6206693571 |
| Fax: |