Melissa A Wagner MS, OTR/L

NPI 1639338478 - Massage Therapist - 225700000X

NPI Details
NPI 1639338478
Gender Female
Enumeration Date 06/06/2008
Last Updated 06/06/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
207 W SUMMIT ST
SOUDERTON PA, 18964-2054, US
Phone (215) 723-2697
Fax (215) 723-2742
Business Location
207 W SUMMIT ST
SOUDERTON PA, 18964-2054, US
Phone (215) 723-2697
Fax (215) 723-2742
Toxanomy
Taxonomy Code 225700000X
License State Pennsylvania
License Number 00
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According to our database, Melissa A Wagner MS, OTR/L NPI is 1639338478, taxonomy code is 225700000X and license number is 00, license state is located at Pennsylvania. Melissa A Wagner MS, OTR/L physically located at 207 W Summit St, Souderton PA, 18964-2054. NPI Number Melissa A Wagner MS, OTR/L has the Individual type.

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1639338478 NPI number is provided on an as is basis without warranty of any kind. 1639338478 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa A Wagner MS, OTR/L are for informational purposes only.