Individual
JULIA ALEXANDRA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6768 OWLWOOD DR, MASON, OH 45040-9576
(614) 580-0682
Mailing address
7464 WELLINGTON RESERVE CT, DUBLIN, OH 43017-1279
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009951
OH
Other
Enumeration date
09/27/2017
Last updated
06/29/2022
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