Provider Demographics
NPI:1821189143
Name:WAMPLER, DEANNA L (OT)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:L
Last Name:WAMPLER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 N COUNTY ROAD 33
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9266
Mailing Address - Country:US
Mailing Address - Phone:419-483-5000
Mailing Address - Fax:
Practice Address - Street 1:101 AUXILIARY DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:OH
Practice Address - Zip Code:44811-9492
Practice Address - Country:US
Practice Address - Phone:419-483-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02975225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist