Individual
MRS. CHRISTA A. WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
318 LOVELL AVE, ELMIRA, NY 14905-1210
(607) 731-8974
Mailing address
318 LOVELL AVE, ELMIRA, NY 14905-1210
(607) 731-8974
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009827-1
NY
Other
Enumeration date
01/16/2007
Last updated
03/13/2013
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