Provider Demographics
NPI:1316562887
Name:SEDLACEK, STEPHANIE F (OTR/L)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:F
Last Name:SEDLACEK
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 1:1472 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:GREENLEAF
Mailing Address - State:KS
Mailing Address - Zip Code:66943-9450
Mailing Address - Country:US
Mailing Address - Phone:785-927-0512
Mailing Address - Fax:
Practice Address - Street 1:1700 SW COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66621-0001
Practice Address - Country:US
Practice Address - Phone:785-610-2439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist