ANTHONY CHARLES WAGNER

NORTH CHICAGO, IL
NPI1841305190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.006368)
Enumeration Date2006-08-20
Last Update Date2009-11-17
Business Address
Mr. ANTHONY CHARLES WAGNER OTR/L
3001 GREEN BAY RD
NORTH CHICAGO, IL 60064-3048
Phone number: 847-688-1900
Mailing Address
Mr. ANTHONY CHARLES WAGNER OTR/L
10064 51ST CT
PLEASANT PRAIRIE, WI 53158-3398
Phone number: 847-688-1900
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