KIMBERLY WAGNER

DEARBORN, MI
NPI1861885477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MI  5201001795)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MI  5201001795)
Enumeration Date2015-03-07
Last Update Date2019-07-30
Business Address
KIMBERLY WAGNER MS, OTRL
23936 MICHIGAN AVE
DEARBORN, MI 48124-1833
Phone number: 313-278-4601
Mailing Address
KIMBERLY WAGNER MS, OTRL
15045 BELMONT AVE
ALLEN PARK, MI 48101-1605
Phone number: 313-378-6648