Sheila Forrest Wagner, OTR/L

NPI #1346781234 in Shiloh, Illinois

Provider Information

NPI Number: 1346781234
Entity Type: Individual
Name: Sheila Forrest Wagner, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Mar 13, 2017
Last Updated: Mar 13, 2017

Practice Location

Address: 210 RED BUD LN
City: Shiloh
State: Illinois
ZIP Code: 62269-3222
Phone: (618) 698-3990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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