Individual
BRIAN WILGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 LION PL, WENATCHEE, WA 98801-1078
(509) 630-6301
Mailing address
1904 LION PL, WENATCHEE, WA 98801-1078
(509) 630-6301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60441376
WA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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