Individual
BRIANNA MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
24211 CENTER RIDGE RD, WESTLAKE, OH 44145-4211
(440) 572-2737
Mailing address
24211 CENTER RIDGE RD, WESTLAKE, OH 44145-4211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011215
OH
Other
Enumeration date
06/04/2021
Last updated
08/31/2023
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