Individual
DANIELLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
745 COMMUNITY DR UNIT H, NORTH LIBERTY, IA 52317-6709
(319) 626-2257
Mailing address
PO BOX 32, SHELLSBURG, IA 52332-0032
(507) 491-3239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
099563
IA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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