Provider Demographics
NPI:1619602208
Name:BUCHANAN, WENDY MAE (OTR/L)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MAE
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:MAE
Other - Last Name:HAUGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:171 HUTTON ST APT 8
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-3492
Mailing Address - Country:US
Mailing Address - Phone:419-908-3691
Mailing Address - Fax:
Practice Address - Street 1:812 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2346
Practice Address - Country:US
Practice Address - Phone:267-525-6043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist