Individual
MRS. BRIDGETT WAGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3004 OLD UNION SPRINGS DR, LONDON, KY 40744-8103
(606) 309-4694
Mailing address
3004 OLD UNION SPRINGS DR, LONDON, KY 40744-8103
(606) 309-4694
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3167
KY
Other
Enumeration date
04/04/2016
Last updated
04/19/2016
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