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1912027178
JOAN WAGNER
NEW YORK, NY
NPI
1912027178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: 009674-1)
Enumeration Date
2007-03-30
Last Update Date
2007-07-08
Business Address
-- JOAN WAGNER MS, OTR
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-7674
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Mailing Address
-- JOAN WAGNER MS, OTR
10 BENNETT AVE APARTMENT 6C
NEW YORK, NY 10033-2102
Phone number: 212-740-3469
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