Individual
MRS. KRISTI JANE WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
520 S 7TH ST, PHYSICAL MEDICINE DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3211
(812) 885-3217
Mailing address
520 S 7TH ST, PHYSICAL MEDICINE DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3211
(812) 885-3217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002932A
IN
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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