Individual
MRS. JANET LYNN WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
211 FRANKLIN ST, QUINCY, MA 02169-7833
(617) 479-0837
Mailing address
95 TOWER RD, HINGHAM, MA 02043-3317
(781) 556-5126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8258
MA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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