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Individual

KRISTIN WICKSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 228-5509
Mailing address
301 S LIBERTY LAKE RD # 3, LIBERTY LAKE, WA 99019-9731

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003931
VA

Other

Enumeration date
08/31/2006
Last updated
02/20/2015
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