Krista Kate Wagner, OTR Valid NPI

Individual provider · Occupational Therapist · Hibbing, MN

NPI

1457729311

Type

Individual (Type 1)

Primary specialty

Occupational Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225X00000X

License number

104783 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-09-09

Last updated

2015-09-09