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

NICHOLE J WAGNER, OTD, OTR/L

Active

NICHOLE J WAGNER, OTD, OTR/L is a Occupational Therapist healthcare provider located in GLEN ULLIN, North Dakota. NPI 1841907300 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GLEN ULLIN, ND

Registration Details

NPI Number
1841907300
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2022 (3.7391153306798 yrs)
Last Updated
Mar 11, 2025
License
1961 (ND)

Practice Information

Address
604 E ASH AVE
GLEN ULLIN, ND, 586317138
Browse ND providers · Browse ZIP 58631
Phone
7013483107
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in GLEN ULLIN, ND

Name Credential NPI
MEAGAN SHILLINGSTAD OTR 1427132661
KAYLA KREMERS OT 1255565354
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.