PATRICIA M WAGNER

MERIDIAN, ID
NPI1689015174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1247)
Enumeration Date2013-07-12
Last Update Date2013-07-12
Business Address
-- PATRICIA M WAGNER OTR/L
179 SW 5TH AVE
MERIDIAN, ID 83642-2995
Phone number: 208-367-8282
Mailing Address
-- PATRICIA M WAGNER OTR/L
179 SW 5TH AVE
MERIDIAN, ID 83642-2995
Phone number: 208-367-8282
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