Individual
KARI WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10503 E STATE ROAD 54, BLOOMFIELD, IN 47424-6066
(812) 825-5623
Mailing address
10503 E STATE ROAD 54, BLOOMFIELD, IN 47424-6066
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003908A
IN
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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