Individual
CORRY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
131 CAMINO ALTO STE E-3, MILL VALLEY, CA 94941-2239
(415) 518-8250
Mailing address
24 HILL ST, MILL VALLEY, CA 94941-2007
(415) 518-8250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10040
CA
Other
Enumeration date
09/05/2015
Last updated
09/05/2015
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