Provider Demographics
NPI:1437297389
Name:SENSEMAN, POLLY (OTR)
Entity Type:Individual
Prefix:MRS
First Name:POLLY
Middle Name:
Last Name:SENSEMAN
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 1:1309 N WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2671
Mailing Address - Country:US
Mailing Address - Phone:316-686-0228
Mailing Address - Fax:
Practice Address - Street 1:625 N CARRIAGE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-4517
Practice Address - Country:US
Practice Address - Phone:316-684-8735
Practice Address - Fax:316-683-2128
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00288225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand