Provider Demographics
NPI:1053536383
Name:LEMAN, DELORES KAE (OTR)
Entity type:Individual
Prefix:
First Name:DELORES
Middle Name:KAE
Last Name:LEMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:DEE
Other - Middle Name:
Other - Last Name:LEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:4081 SW CAMELOT DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64082-4744
Mailing Address - Country:US
Mailing Address - Phone:816-916-3403
Mailing Address - Fax:
Practice Address - Street 1:621 CARONDELET DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4670
Practice Address - Country:US
Practice Address - Phone:816-943-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-00731225X00000X
MO001736225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist