Individual
KRISTI WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20288 HIGHWAY 15 N STE 100, HUTCHINSON, MN 55350-5685
(320) 587-2326
Mailing address
20288 HIGHWAY 15 N STE 100, HUTCHINSON, MN 55350-5685
(320) 587-2326
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202675
MN
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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