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 455 BOX 208
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96540-0003
Mailing Address - Country:US
Mailing Address - Phone:671-344-9027
Mailing Address - Fax:671-344-9130
Practice Address - Street 1:FARENHOLT AVE, BLDG 50
Practice Address - Street 2:
Practice Address - City:AGANA HEIGHTS
Practice Address - State:GUAM
Practice Address - Zip Code:96910
Practice Address - Country:UM
Practice Address - Phone:671-344-9027
Practice Address - Fax:671-344-9310
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GUOT000002225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics