Corry Wagner, OTR/L

NPI #1457729576 in Mill Valley, California

Provider Information

NPI Number: 1457729576
Entity Type: Individual
Name: Corry Wagner, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Sep 5, 2015
Last Updated: Sep 5, 2015

Practice Location

Address: 131 CAMINO ALTO STE E-3
City: Mill Valley
State: California
ZIP Code: 94941-2239
Phone: (415) 518-8250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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