Provider Demographics
NPI:1598943268
Name:ATKINSON, WENDY VAUGHN (OTR/L, SIPT CERTIFED)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:VAUGHN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:OTR/L, SIPT CERTIFED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12371 COTTAGE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-7844
Mailing Address - Country:US
Mailing Address - Phone:804-363-7214
Mailing Address - Fax:804-798-5279
Practice Address - Street 1:12371 COTTAGE WOODS DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-7844
Practice Address - Country:US
Practice Address - Phone:804-363-7214
Practice Address - Fax:804-798-5279
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000680225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics