Individual
CHRISTI LYN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2002 HOLCOMB BLVD., HOUSTON, TX 77030-4298
(713) 794-7793
Mailing address
14611 DAWN VALE, HOUSTON, TX 77062-2128
(281) 280-8379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5183
TX
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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