ALISSA MARIE WAGNER

BROOKFIELD, WI
NPI1174222103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  8163-26)
Enumeration Date2023-02-28
Last Update Date2023-02-28
Business Address
ALISSA MARIE WAGNER MOTR/L
3360 GATEWAY RD
BROOKFIELD, WI 53045-5115
Phone number: 414-964-4777
Mailing Address
ALISSA MARIE WAGNER MOTR/L
608 LAUREL LAKE RD APT 7
THIENSVILLE, WI 53092-1240
Phone number: 920-629-4338
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