Individual
KRISTI L WANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2675 N LIPKEY RD, NORTH JACKSON, OH 44451-9665
(330) 538-6228
Mailing address
1325 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1346
(330) 759-5904
(330) 759-8709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4819
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2577162
—
OH
Enumeration date
10/01/2009
Last updated
10/01/2009
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