Provider Demographics
NPI:1437373065
Name:APGAR, WENDY LYNNE (MS, OTR, L)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:LYNNE
Last Name:APGAR
Suffix:
Gender:F
Credentials:MS, OTR, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15462 SCHOETTLER VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-5301
Mailing Address - Country:US
Mailing Address - Phone:636-532-7108
Mailing Address - Fax:636-532-7108
Practice Address - Street 1:2127 INNERBELT BUSINESS CENTER DR
Practice Address - Street 2:SUITE 107
Practice Address - City:OVERLAND
Practice Address - State:MO
Practice Address - Zip Code:63114-5700
Practice Address - Country:US
Practice Address - Phone:314-506-8800
Practice Address - Fax:314-506-8880
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000274225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO22OtherOCCUPATIONAL THERAPIST