Individual
MS. WANDA RAE VANDERWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
1115 MONTELLO AVE, A, HOOD RIVER, OR 97031-1574
(541) 386-2688
Mailing address
1115 MONTELLO AVE, A, HOOD RIVER, OR 97031-1574
(541) 387-3609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
393
OR
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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