Individual provider · Type 1 NPI

Kristie Lynn Wagoner, OTR

Occupational Therapist · Pearland, TX

NPI number 1992030357 Active

Practice location

2637 Lazy Bend St Ste 105
Pearland, TX 77581-1007

Call (713) 355-0623 Map

Mailing address

2637 Lazy Bend Street Suite 105
Pearland, TX 77581

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X110636 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1992030357

Kristie Lynn Wagoner, OTR's National Provider Identifier is 1992030357, issued on Oct 2, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pearland, TX. The record was last updated on Oct 2, 2009.