Individual
MR. DANIEL SCOTT WENGERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8619 N 430 RD, ADAIR, OK 74330-2706
(918) 864-0378
Mailing address
8619 N 430 RD, ADAIR, OK 74330-2706
(918) 864-0378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT870
OK
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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