Individual
ALEXIS BROOKE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
Mailing address
108 N WILLOW ST, BROOKSVILLE, KY 41004-8304
(606) 782-2888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010334
OH
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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