Melissa A Wagner, MS, OTR/L

NPI #1639338478 in Souderton, Pennsylvania

Provider Information

NPI Number: 1639338478
Entity Type: Individual
Name: Melissa A Wagner, MS, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MS, OTR/L
Enumeration Date: Jun 6, 2008
Last Updated: Jun 6, 2008

Practice Location

Address: 207 W SUMMIT ST
City: Souderton
State: Pennsylvania
ZIP Code: 18964-2054
Phone: (215) 723-2697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Occupational Therapist	225X00000X	Primary

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