Jody Wagner, BS

NPI #1265573380 in Schaumburg, Illinois

Provider Information

NPI Number: 1265573380
Entity Type: Individual
Name: Jody Wagner, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: BS
Enumeration Date: Feb 9, 2007
Last Updated: Jul 12, 2007

Practice Location

Address: 50 W SCHAUMBURG RD
City: Schaumburg
State: Illinois
ZIP Code: 60194
Phone: (847) 490-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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