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Individual

MELISSA A WAGNER

Active
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Individual

MELISSA A WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
00
PA
225X00000X
Occupational Therapist
Primary
OC008769
PA

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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