Individual
MELINDA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 RICHMOND HILL DR, ASHEVILLE, NC 28806-3916
(828) 254-9675
Mailing address
211 HAWTHORN DR, NONE, HENDERSONVILLE, NC 28791-1736
(936) 697-5827
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9173
NC
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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