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1346351012
KRISTIN WICKSTROM
SPOKANE VALLEY, WA
NPI
1346351012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119003931)
Enumeration Date
2006-08-31
Last Update Date
2015-02-20
Business Address
-- KRISTIN WICKSTROM OTR/L
19307 E CATALDO AVE
SPOKANE VALLEY, WA 99016-9489
Phone number: 509-228-5509
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Mailing Address
-- KRISTIN WICKSTROM OTR/L
301 S LIBERTY LAKE RD # 3
LIBERTY LAKE, WA 99019-9731
Phone number:
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