Individual
MRS. JULIE ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA-L
Contact information
Practice address
218 ELM ST, LONDON, OH 43140-2130
(740) 852-3100
(740) 852-7266
Mailing address
5438 CEDAR SPGS, COLUMBUS, OH 43228-7200
(419) 552-6279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.03263
OH
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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