Individual
SERENA JOY WAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12634 1/2 SPENCERVILLE RD, HARLAN, IN 46743-7498
(812) 787-0471
Mailing address
12634 1/2 SPENCERVILLE RD, HARLAN, IN 46743-7498
(812) 787-0471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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