Megan Diane Waggener
Rehabilitation Practitioner in Oakland, CA. Individual provider (NPI-1).
NPI number1962007153
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1962007153
- Entity type
- Individual (NPI-1)
- Name
- Megan Diane Waggener
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2020
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
3301 E 12th St Ste 259Oakland, CA 94601-2940
Phone 510-407-2843
Mailing address
3301 E 12th St Ste 259Oakland, CA 94601-2940
Phone 510-407-2843
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