Individual
JESSICA ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3620 WILGUS AVE, SHEBOYGAN, WI 53081-3068
(920) 208-9648
Mailing address
665 HERITAGE CT, GRAFTON, WI 53024-1180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9025-26
WI
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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