Kristy E Wagner, COTA

NPI #1750673513 in Berlin, Wisconsin

Provider Information

NPI Number
1750673513
Entity Type
Individual
Name
Kristy E Wagner, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
May 11, 2011
Last Updated
May 11, 2011

Practice Location

Address
225 MEMORIAL DRIVE
City
Berlin
ZIP Code
54923
Phone
(920) 361-5534

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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