Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ELIZABETH WAGSTAFF, OTR/L
ActiveGerontology Occupational Therapist · ELLSWORTH, ME
Registration Details
- NPI Number
- 1760940464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2019 (7.1103182016215 yrs)
- Last Updated
- Apr 16, 2020
- License
-
OT955 (ME)
Practice Information
- Address
-
SEAPORT VILLAGE HEALTHCARE19 GENERAL MOORE WAYELLSWORTH, ME, 04605Browse ME providers · Browse ZIP 04605
- Phone
- 2076679336
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
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.