Individual
MELISSA HART WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
120 CAVETTE HILL LN, REHAB DEPARTMENT, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
7104 W ARBOR TRACE DR, APARTMENT 307, KNOXVILLE, TN 37909-3044
(336) 978-2380
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5568
TN
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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