Individual
ANNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 351-3943
Mailing address
4331 LINCOLN HWY, MATTESON, IL 60443-2404
(708) 351-3943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013695
IL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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