NPI 1073672051

Stephanie Waggoner

Practitioner Occupational Therapy Assistant Huntington, WV

Practice location

Address: 6900 West Country Club Dr, Huntington, WV 25705
Phone: (304) 733-1060
Mailing address: 574 Wild Cherry Cir, Raceland, KY 41169-1177

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence C1432 (WV)

Other Occupational Therapy Assistant providers in West Virginia →

Registry record

NPI: 1073672051
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.