# MELANIE LEANNE WAGNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245961515
- **Gender:** F
- **Credential:** MOT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 0119009765 | VA | — |
| 225X00000X | Occupational Therapist | 2022022632 | MO | — |
| 225X00000X | Occupational Therapist | 474782 | OR | Yes |

## Other

- **Enumeration date:** 06/18/2022
- **Last updated:** 05/25/2026