Stevie Fandango Wagar, COTA/L
NPI #1629673751 in Newport, Washington
Provider Information
- NPI Number
- 1629673751
- Entity Type
- Individual
- Name
- Stevie Fandango Wagar, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Dec 4, 2020
- Last Updated
- Dec 4, 2020
Practice Location
- Address
- 714 W PINE ST
- City
- Newport
- State
- Washington
- ZIP Code
- 99156-9046
- Phone
- (509) 447-2441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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