Sandra Kay Wagner, COTA

NPI #1710162300 in Lithia, Florida

Provider Information

NPI Number
1710162300
Entity Type
Individual
Name
Sandra Kay Wagner, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jan 2, 2008
Last Updated
Jan 2, 2008

Practice Location

Address
6131 IBISPARK DR
City
Lithia
State
Florida
ZIP Code
33547-3909
Phone
(941) 722-6634

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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