Provider Demographics
NPI:1285853945
Name:BANDEL, CHRISTINA (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:BANDEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 PAWNEE RD
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:KS
Mailing Address - Zip Code:66066-5382
Mailing Address - Country:US
Mailing Address - Phone:785-863-4940
Mailing Address - Fax:
Practice Address - Street 1:700 CHEROKEE ST
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:KS
Practice Address - Zip Code:66066-5054
Practice Address - Country:US
Practice Address - Phone:785-863-2108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1701978225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist