Walton, Stephanie Wagoner

Walton, Stephanie Wagoner is an individual health care provider with primary practice located at 875 Pennsylvania Ave Suite A, Bardstown KY 40004-2529. 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. Walton, Stephanie Wagoner can be contacted via phone (502) 349-6961.

Contact Information

Primary practice address
875 Pennsylvania Ave Suite A Bardstown KY 40004-2529
Phone: (502) 349-6961
Fax: (502) 348-1789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X KY-R2658 Kentucky

Profile Details

NPI number 1972689867
LBN Legal business name Walton, Stephanie Wagoner
Credentials OT/L
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2011 - about 14 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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