IndividualActive
Angela Petite, OTR
NPI 1639394604 · Pediatric Occupational Therapist · Lansing, KS
Provider details
- NPI number
- 1639394604
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 17-02238 (KS)
Mailing address
16536 Hildebrandt Rd
Leavenworth, KS 66048-8465
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.