JENNIFER WAGNER

GLENDALE, AZ
NPI1982115432
Former NameJENNIFER LOPEZ QUINTERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: AZ  7165)
Enumeration Date2017-10-23
Last Update Date2019-06-18
Business Address
JENNIFER WAGNER MS, OTR/L
20329 N 59TH AVE
GLENDALE, AZ 85308-6853
Phone number: 623-500-2401
Mailing Address
JENNIFER WAGNER MS, OTR/L
7505 S 14TH ST
PHOENIX, AZ 85042-5666
Phone number: 602-349-8212
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