Wagoner, Kristie Lynn

Wagoner, Kristie Lynn is an individual health care provider with primary practice located at 2637 Lazy Bend St Ste 105 , Pearland TX 77581-1007. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wagoner, Kristie Lynn can be contacted via phone (713) 355-0623.

Contact Information

Primary practice address
2637 Lazy Bend St Ste 105 Pearland TX 77581-1007
Phone: (713) 355-0623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 110636 Texas

Profile Details

NPI number 1992030357
LBN Legal business name Wagoner, Kristie Lynn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2009
Last updated Oct 2nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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