Individual
MRS. KRISTEN L VANWAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9402 JONATHAN PL, CRESTWOOD, KY 40014-8029
(502) 551-4030
Mailing address
9402 JONATHAN PL, CRESTWOOD, KY 40014-8029
(502) 551-4030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2538
KY
Other
Enumeration date
02/04/2010
Last updated
05/28/2025
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