Individual
KAYLA WENKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 E FREMONT ST, MONROE, WA 98272-2336
(360) 804-2600
Mailing address
1723 SW LAKE ROESIGER RD, SNOHOMISH, WA 98290-7557
(218) 639-0952
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60299131
WA
Other
Enumeration date
07/15/2010
Last updated
10/15/2012
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