Individual
SARAH ANNE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
107 1ST ST N, YELM, WA 98597-7718
(360) 458-1900
Mailing address
7418 223RD AVENUE CT E, BUCKLEY, WA 98321-7453
(253) 307-5258
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61132181
WA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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