Individual
ALEXIS NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 S COY RD, NORTHWOOD, OH 43619-1616
(419) 913-9099
Mailing address
6850 SOLETHER RD, CYGNET, OH 43413-9702
(419) 913-9099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
11/24/2025
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