MRS. Jennifer Lynn Wagner, MSOTR/L

NPI #1760674386 in Boonton, New Jersey

Provider Information

NPI Number: 1760674386
Entity Type: Individual
Name: MRS. Jennifer Lynn Wagner, MSOTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MSOTR/L
Enumeration Date: Aug 16, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 206 DEERLEA LN
City: Boonton
State: New Jersey
ZIP Code: 07005-9511
Phone: (973) 632-6487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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