MR. Anthony Charles Wagner, OTR/L
NPI #1841305190 in North Chicago, Illinois
Provider Information
- NPI Number
- 1841305190
- Entity Type
- Individual
- Name
- MR. Anthony Charles Wagner, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Nov 17, 2009
Practice Location
- Address
- 3001 GREEN BAY RD
- City
- North Chicago
- State
- Illinois
- ZIP Code
- 60064-3048
- Phone
- (847) 688-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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