Provider Demographics
NPI:1831671510
Name:ZENDER, ADRIANE SUSANNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ADRIANE
Middle Name:SUSANNE
Last Name:ZENDER
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 1:6800 GRANADA RD
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-1637
Mailing Address - Country:US
Mailing Address - Phone:191-390-9814
Mailing Address - Fax:
Practice Address - Street 1:6800 GRANADA RD
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-1637
Practice Address - Country:US
Practice Address - Phone:191-390-9814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-03442225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist