Individual
MRS. KATHRYN ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
6572 POWERS RD, ORCHARD PARK, NY 14127-4804
(716) 818-2800
Mailing address
6572 POWERS RD, ORCHARD PARK, NY 14127-4804
(716) 818-2800
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
004236-1
NY
251E00000X
Home Health Agency
004236-1
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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