Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS EMILY GRACE WAGNER, DT-C
Active Sole ProprietorMISS EMILY GRACE WAGNER, DT-C is a Developmental Therapist healthcare provider located in RESTON, Virginia. NPI 1194206243 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · RESTON, VA
Registration Details
- NPI Number
- 1194206243
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2018 (7.9926375760077 yrs)
- Last Updated
- Jul 31, 2023
- Licenses
-
29001978A (IN)NA
- Sole Proprietor
- Yes
Practice Information
- Address
-
11720 PLAZA AMERICA DR FL 9RESTON, VA, 201904757Browse VA providers · Browse ZIP 20190
- Phone
- 8669687512
- Primary Specialty
-
Developmental Therapist
222Q00000X
- Additional Specialty
- Developmental Therapist
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.