Jane Eileen Wagoner OTR

NPI 1386830453 - Occupational Therapist - 225X00000X

NPI Details
NPI 1386830453
Gender Female
Enumeration Date 09/21/2007
Last Updated 09/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
600 MEDICAL CENTER DR
NEWTON KS, 67114-8780, US
Phone (316) 804-6202
Fax (316) 804-6270
Business Location
600 MEDICAL CENTER DR
PO BOX 308
NEWTON KS, 67114-8780, US
Phone (316) 804-6202
Fax (316) 804-6270
Toxanomy
Taxonomy Code 225X00000X
License State Kansas
License Number 17-00326
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According to our database, Ms. Jane Eileen Wagoner OTR NPI is 1386830453, taxonomy code is 225X00000X and license number is 17-00326, license state is located at Kansas. Jane Eileen Wagoner OTR physically located at 600 Medical Center Dr, Newton KS, 67114-8780. NPI Number Jane Eileen Wagoner OTR has the Individual type.

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1386830453 NPI number is provided on an as is basis without warranty of any kind. 1386830453 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Eileen Wagoner OTR are for informational purposes only.