Individual
MS. CHERYL A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1331 E 4TH ST, OTTAWA, OH 45875-1545
(419) 523-9337
(419) 523-6323
Mailing address
12483 ROAD 12-H, OTTAWA, OH 45875
(419) 447-7203
(419) 447-5577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006086
OH
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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