Organization
LINDA WAGNER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA WAGNER MS, OTR/L (OWNER-THERAPIST)
(585) 503-0405
Entity
Organization
Contact information
Practice address
5216 DORCHESTER DR, ERIE, PA 16509-2500
(585) 503-0405
Mailing address
5216 DORCHESTER DR, ERIE, PA 16509-2500
(585) 503-0405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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