MRS. Ruth A Godwin Wagner, O.T.

NPI #1679857965 in Clyde, New York

Provider Information

NPI Number
1679857965
Entity Type
Individual
Name
MRS. Ruth A Godwin Wagner, O.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
O.T.
Enumeration Date
Oct 5, 2011
Last Updated
Oct 5, 2011

Practice Location

Address
212 E. DEZENG ST.
Address 2
CLYDE ELEMENTARY SCHOOL
City
Clyde
ZIP Code
14433
Phone
(315) 902-3100

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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