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Individual

AIMEE E WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3306
Mailing address
1010 D AVE W, OSKALOOSA, IA 52577-1930
(402) 658-9683

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001936
IA

Other

Enumeration date
01/13/2009
Last updated
01/13/2009
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