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STEVIE FANDANGO WAGAR, COTA/L

Active

STEVIE FANDANGO WAGAR, COTA/L is a Occupational Therapy Assistant healthcare provider located in NEWPORT, Washington. NPI 1629673751 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · NEWPORT, WA

Registration Details

NPI Number
1629673751
Provider Type
Individual
Gender
Female
NPI Issued
Dec 4, 2020 (5.6991786911104 yrs)
Last Updated
Dec 4, 2020
License
OC60991827 (WA)

Practice Information

Address
714 W PINE ST
NEWPORT, WA, 991569046
Browse WA providers · Browse ZIP 99156
Phone
5094472441
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in NEWPORT, WA

Name Credential NPI
MRS. TAMERA JO WELLS COTA/L 1548656267
ALISSA LORRAINE SCHUSTER COTA 1669918041
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.