NPI 1194206243

Emily Grace Wagner, DTC

Practitioner Developmental Therapist Reston, VA

Practice location

Address: 11720 Plaza America Dr Fl 9, Reston, VA 20190-4757
Phone: (866) 968-7512

Registered specialties (2)

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X Licence NA

Other Developmental Therapist providers in Virginia →

Speech-Language Assistant

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence 29001978A (IN)

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1194206243
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2018
Record last updated: 31 Jul 2023

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.