Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINDY WAGNER, OTR/L
Active Sole ProprietorMINDY WAGNER, OTR/L is a Pediatric Occupational Therapist healthcare provider located in SEAL BEACH, California. NPI 1306268057 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SEAL BEACH, CA
Registration Details
- NPI Number
- 1306268057
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2014 (12.580868398401 yrs)
- Last Updated
- Jan 15, 2014
- License
-
9000 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 CRYSTAL PLSEAL BEACH, CA, 907406219Browse CA providers · Browse ZIP 90740
- Phone
- 5623109257
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
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.