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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAX WAGONHEIM, PTA

Active Sole Proprietor

MAX WAGONHEIM, PTA is a Occupational Therapist healthcare provider located in LUTHERVILLE, Maryland. NPI 1760854095 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LUTHERVILLE, MD

Registration Details

NPI Number
1760854095
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2015 (10.75861037271 yrs)
Last Updated
Oct 26, 2015
License
A4037 (MD)
Sole Proprietor
Yes

Practice Information

Address
515 BRIGHTFIELD RD
LUTHERVILLE, MD, 210933643
Browse MD providers · Browse ZIP 21093
Phone
4102961990
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in LUTHERVILLE, MD

Name Credential NPI
LISA M FOTIA PTA 1659367514
MS. SUSAN FRANCES RICARD PTA 1043374390
MRS. REBECCA M SHARUN PTA 1477618437
MR. DAVID DWAYNE DUNBAR PTA 1053431866
KATHRYN ANN MCGINTY PTA 1598084634
KAREN E FALKLER PTA 1942571526
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.