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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ROBERT RANDALL HENDRICKSON, COTA

Active Sole Proprietor

MR. ROBERT RANDALL HENDRICKSON, COTA is a Occupational Therapy Assistant healthcare provider located in SOUTH HUTCHINSON, Kansas. NPI 1407050529 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SOUTH HUTCHINSON, KS

Registration Details

NPI Number
1407050529
Provider Type
Individual
Gender
Male
NPI Issued
Jun 13, 2007 (19.168919257222 yrs)
Last Updated
Jul 8, 2007
License
18-00192 (KS)
Sole Proprietor
Yes

Practice Information

Address
600 W BLANCHARD AVE
SOUTH HUTCHINSON, KS, 675051526
Browse KS providers · Browse ZIP 67505
Phone
6206637175
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SOUTH HUTCHINSON, KS

Name Credential NPI
TIFFANY DAWN HOLLER COTA/L 1619204195
TYMBER JACQUES 1982153540
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.