SUDHAGAR GANGATHARAM

LANSING, KS
NPI1831089812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: KS  17-04467)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: KS  17-04467)
225XG0600X Occupational Therapist, Gerontology
(Licence: KS  17-04467)
225XL0004X Occupational Therapist, Low Vision
(Licence: KS  17-04467)
225XP0019X Occupational Therapist, Physical Rehabilitation
(Licence: KS  17-04467)
Enumeration Date2025-07-09
Last Update Date2025-07-15
Business Address
SUDHAGAR GANGATHARAM OTR/L
100 E KANSAS ST
LANSING, KS 66043-1616
Phone number: 913-758-0283
Mailing Address
SUDHAGAR GANGATHARAM OTR/L
4100 S 4TH ST
LEAVENWORTH, KS 66048-5082
Phone number: 604-551-2508