Individual
DONNA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Contact information
Practice address
787 37TH ST STE E110, VERO BEACH, FL 32960-7319
(772) 562-6401
(772) 562-6011
Mailing address
787 37TH ST STE E110, VERO BEACH, FL 32960-7319
(772) 562-6401
(772) 562-6011
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 2712
FL
Other
Enumeration date
10/11/2006
Last updated
12/08/2009
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