Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY WAGNER, COTA
Active Sole ProprietorMARY WAGNER, COTA is a Occupational Therapy Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1033842075 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · KENOSHA, WI
Registration Details
- NPI Number
- 1033842075
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2022 (4.1111916417183 yrs)
- Last Updated
- Jul 7, 2022
- License
-
5738-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3415 SHERIDAN RDKENOSHA, WI, 531401924Browse WI providers · Browse ZIP 53140
- Phone
- 2626576175
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| ANDREA SJAARDEMA | COTA | 1104965474 |
| CORINNE S MAERZKE | COTA | 1114149069 |
| ELIZABETH MICHELLE BROWN | COTA | 1710199179 |
| MRS. TRACY WILLMS | COTA | 1295948438 |
| MRS. ROBYN LOUISE VANDE BERG | COTA/L | 1992998132 |
| DEBORAH SCHWERDTFEGER | — | 1841467438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.