Provider Demographics
NPI:1598104150
Name:LEGASPI, WENDY SIGGELKOW (OTR)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SIGGELKOW
Last Name:LEGASPI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 490 BOX 9095
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96538-9000
Mailing Address - Country:US
Mailing Address - Phone:671-344-9291
Mailing Address - Fax:671-344-9305
Practice Address - Street 1:PSC 490 BOX 9095
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96538-9000
Practice Address - Country:US
Practice Address - Phone:671-344-9291
Practice Address - Fax:671-344-9305
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUOT000002225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics