Autumn Rose Wacker, MS, OTR/L

NPI #1992064752 in Lovettsville, Virginia

Provider Information

NPI Number: 1992064752
Entity Type: Individual
Name: Autumn Rose Wacker, MS, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 38416 MORRISONVILLE RD
City: Lovettsville
State: Virginia
ZIP Code: 20180-3102
Phone: (703) 298-5319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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