Individual
DIANA KRISTINE WANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2800 S 224TH ST, DES MOINES, WA 98198-5132
(206) 824-0600
Mailing address
2428 NW MARKET ST APT 511, SEATTLE, WA 98107-4175
(732) 829-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60900087
WA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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