Individual
ALEXIS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10261 INNOVATION WAY, JACKSONVILLE, FL 32256-8172
(561) 389-7039
Mailing address
10261 INNOVATION WAY, JACKSONVILLE, FL 32256-8172
(561) 389-7039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20107
FL
Other
Enumeration date
12/05/2022
Last updated
05/02/2025
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