Individual
LYDIA LEOPOLDINA WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 CHERRY ST, HOQUIAM, WA 98550-3007
(360) 532-7882
Mailing address
721 N K ST, APT. #6, ABERDEEN, WA 98520-2464
(714) 310-0852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00004220
WA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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