Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RUTH A GODWIN WAGNER, O.T.
ActiveMRS. RUTH A GODWIN WAGNER, O.T. is a Occupational Therapist healthcare provider located in CLYDE, New York. NPI 1679857965 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CLYDE, NY
Registration Details
- NPI Number
- 1679857965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2011 (14.898979234114 yrs)
- Last Updated
- Oct 5, 2011
- License
-
005681-1 (NY)
Practice Information
- Address
-
212 E. DEZENG ST.CLYDE ELEMENTARY SCHOOLCLYDE, NY, 14433Browse NY providers · Browse ZIP 14433
- Phone
- 3159023100
- Primary Specialty
-
Occupational Therapist
225X00000X
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.