MS. Adelyn Lee Wagner, OTRL

NPI #1699830331 in Hermann, Missouri

Provider Information

NPI Number: 1699830331
Entity Type: Individual
Name: MS. Adelyn Lee Wagner, OTRL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Dec 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 509 W. 18TH ST.
City: Hermann
State: Missouri
ZIP Code: 65041-0470
Phone: (573) 486-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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