Individual
MRS. JANICE HOLLY WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
328 HOLLOW RD, STEWARTSTOWN, PA 17363-8791
(410) 913-4424
Mailing address
328 HOLLOW RD, STEWARTSTOWN, PA 17363-8791
(410) 913-4424
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
02913
MD
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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