Individual
MS. AMY LYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2820 E 53RD AVE, APT # 48, SPOKANE, WA 99223-7962
(425) 232-4797
Mailing address
2820 E 53RD AVE, APT # 48, SPOKANE, WA 99223-7962
(425) 232-4797
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60136178
WA
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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