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Susan Wagonlander, OTR/L,CHT
Hand Occupational Therapist in Travis Afb, California
NPI 1639129620

Susan Wagonlander is a Hand Occupational Therapist based in Travis Afb, CA and is specialized in Hand. Susan Wagonlander practices in Travis Afb, CA and has the professional credentials of OTR/L,CHT. The NPI Number for Susan Wagonlander is 1639129620 and holds a License No. 0118 (California).

The current practice location address for Susan Wagonlander is 101 Bodin Cir, Travis Afb, CA and can be reached out via phone at 707-423-7816.

Location: 101 Bodin Cir, Travis Afb, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639129620
Provider Name
Susan Wagonlander
Credential
OTR/L,CHT
Provider Entity Type
Individual
Gender
Female
Address
101 Bodin Cir, Travis Afb, CA, 94535-1809
Phone Number
707-423-7816
Fax Number
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-7816
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-7816
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
225XH1200X
License No.
0118 (Alabama)
Definition
Definition to come...
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