Individual
MS. KATHERINE PATIENCE WANGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 MARKET ST, #428, MANASSAS PARK, VA 20111-3212
(425) 273-6617
Mailing address
125 MARKET ST, #428, MANASSAS PARK, VA 20111-3212
(425) 273-6617
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
291158
OR
224Z00000X
Occupational Therapy Assistant
OC60249912
WA
224Z00000X
Occupational Therapy Assistant
OTA100000263
DC
224Z00000X
Occupational Therapy Assistant
Primary
OTA100000263
VA
224Z00000X
Occupational Therapy Assistant
OTA2840
CA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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