NPI 1003370545

Jennifer L Wagner

Practitioner Occupational Therapy Assistant Justin, TX

Practice location

Address: 120 Meadow View Dr, Justin, TX 76247-9639
Phone: (940) 648-2731
Mailing address: 10711 Justin Cemetery Rd Lot 264, Justin, TX 76247-8032

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 212402 (TX)

Other Occupational Therapy Assistant providers in Texas →

Registry record

NPI: 1003370545
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2019
Record last updated: 29 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.