Individual
JANE ADAMS VAGSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
364 CATHERINE ST APT F3, WALLA WALLA, WA 99362-3050
(509) 525-9578
Mailing address
364 CATHERINE ST APT F3, WALLA WALLA, WA 99362-3050
(509) 525-9578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0001840
WA
Other
Enumeration date
10/18/2007
Last updated
01/28/2013
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