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Brianna Marie Wagner, MOT, OTR

Occupational Therapist in Westlake, OH. Individual provider (NPI-1).

NPI number1275100711
StatusActive
Last updated in NPPESAug 31, 2023

Details

NPI
1275100711
Entity type
Individual (NPI-1)
Name
Brianna Marie Wagner
Credential
MOT, OTR
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2021
Certification date
Aug 31, 2023
Last updated
Aug 31, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT011215OHYes

Practice location

24211 Center Ridge Rd
Westlake, OH 44145-4211

Phone 440-572-2737

Mailing address

24211 Center Ridge Rd
Westlake, OH 44145-4211

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