MEDICARE: MS. WENDY LYNNE APGAR M.S., OTR, L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	000274	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22	OTHER	MO	OCCUPATIONAL THERAPIST

General Provider Information

NPI Number	:	1437373065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WENDY LYNNE APGAR M.S., OTR, L

Provider Business Mailing Address
First Line	:	15462 SCHOETTLER VALLEY CT
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-5301
Country	:	US
Telephone Number	:	636-532-7108
Fax Number	:	636-532-7108

Provider Business Practice Location Address
First Line	:	2127 INNERBELT BUSINESS CENTER DR
Second Line	:	SUITE 107
City	:	OVERLAND
State	:	MO
Zip	:	63114-5700
Country	:	US
Telephone Number	:	314-506-8800
Fax Number	:	314-506-8880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/08/2007

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