Anastasia Wagner

NPI #1689085003 in Saint Petersburg, Florida

Provider Information

NPI Number: 1689085003
Entity Type: Individual
Name: Anastasia Wagner
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: May 20, 2014
Last Updated: May 20, 2014

Practice Location

Address: 2423 2ND AVE N
City: Saint Petersburg
State: Florida
ZIP Code: 33713-8826
Phone: (727) 560-5657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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