Kathleen Marie Wagner, COTA

NPI #1871879452 in Pea Ridge, Arkansas

Provider Information

NPI Number
1871879452
Entity Type
Individual
Name
Kathleen Marie Wagner, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Oct 27, 2011
Last Updated
Oct 20, 2023

Practice Location

Address
979 WESTON ST
ZIP Code
72751-2628
Phone
(479) 451-8181

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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