NPI 1235585191

Michael Charles Wagner

Practitioner Occupational Therapist Nampa, ID

Practice location

Address: 170 2nd St S, Nampa, ID 83651-3708
Phone: (208) 385-3651

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OT-1598 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1235585191
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2016
Record last updated: 10 May 2016

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.