Individual
CHRISTINE SMITH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
84 COLD HILL RD, MENDHAM, NJ 07945-2021
(973) 543-2500
(973) 543-4123
Mailing address
452 STATE ROUTE 24, CHESTER, NJ 07930-2902
(973) 543-2500
(973) 543-4123
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00393100
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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