Provider Demographics
NPI:1437677739
Name:PRAMANN, MEREDITH E (COTA/L)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:E
Last Name:PRAMANN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 W 162ND TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8238
Mailing Address - Country:US
Mailing Address - Phone:913-257-5808
Mailing Address - Fax:844-270-5788
Practice Address - Street 1:7235 W 162ND TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-8238
Practice Address - Country:US
Practice Address - Phone:913-257-5808
Practice Address - Fax:844-270-5788
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-01446224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant