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1114507415
ALEXANDRA WAGNER
ASTORIA, NY
NPI
1114507415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 021451)
Enumeration Date
2021-04-11
Last Update Date
2021-04-11
Business Address
ALEXANDRA WAGNER OTR/L
3074 30TH ST APT 2F
ASTORIA, NY 11102-2226
Phone number: 607-206-8422
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Mailing Address
ALEXANDRA WAGNER OTR/L
3074 30TH ST APT 2F
ASTORIA, NY 11102-2226
Phone number: 607-206-8422
Copy
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