Linda Wagner LLC

NPI #1043853112 in Erie, Pennsylvania

Provider Information

NPI Number: 1043853112
Entity Type: Organization
Organization Name: Linda Wagner LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 22, 2019
Last Updated: Oct 22, 2019

Practice Location

Address: 5216 DORCHESTER DR
City: Erie
State: Pennsylvania
ZIP Code: 16509-2500
Phone: (585) 503-0405

Authorized Official

Name: LINDA WAGNER, MS, OTR/L
Title: OWNER-THERAPIST
Phone: (585) 503-0405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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