Jason L Wollenberg, OT Valid NPI

Individual provider · Occupational Therapist · Manhattan, KS

NPI

1366649501

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

17-01930 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2007-06-29

Last updated

2026-05-01