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Kristin Wickstrom, OTR/L

Occupational Therapist in Spokane Valley, WA. Individual provider (NPI-1).

NPI number1346351012
StatusActive
Last updated in NPPESFeb 20, 2015

Details

NPI
1346351012
Entity type
Individual (NPI-1)
Name
Kristin Wickstrom
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Feb 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist0119003931VAYes

Practice location

19307 E Cataldo Ave
Spokane Valley, WA 99016-9489

Phone 509-228-5509

Mailing address

301 S Liberty Lake Rd # 3
Liberty Lake, WA 99019-9731

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