Individual
ELIZABETH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
(281) 430-4945
(281) 430-4225
Mailing address
9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
(281) 430-4945
(281) 430-4225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110301
TX
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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