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Individual

MS. MARSHA WINKLER WAGNER I

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1101 VETERANS DR., VAMC, LEXINGTON, KY 40502
(859) 233-4511
(859) 281-3966
Mailing address
2516 DOYLESVILLE RD, RICHMOND, KY 40475-9240
(859) 233-4511
(859) 281-3966

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R0145
KY

Other

Enumeration date
04/20/2006
Last updated
07/08/2007
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