Provider Demographics
NPI:1073807459
Name:CLINE, APRIL MICHELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MICHELLE
Last Name:CLINE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4523 S FLORA CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67215-1925
Mailing Address - Country:US
Mailing Address - Phone:316-239-5780
Mailing Address - Fax:
Practice Address - Street 1:2280 S MINNEAPOLIS AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67211-5318
Practice Address - Country:US
Practice Address - Phone:316-265-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02060225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist