Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE RAE WAGNER, OTR/L
Active Sole ProprietorJACQUELINE RAE WAGNER, OTR/L is a Occupational Therapist healthcare provider located in HUDSON, Wisconsin. NPI 1861646010 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HUDSON, WI
Registration Details
- NPI Number
- 1861646010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2008 (17.75392352787 yrs)
- Last Updated
- Mar 22, 2021
- Licenses
-
103369 (MN)6780-26 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1818 STONE CRKHUDSON, WI, 540169338Browse WI providers · Browse ZIP 54016
- Phone
- 7154411003
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in HUDSON, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. MELISSA BEATRICE FLOYSAND | OTR | 1417053307 |
| MRS. SANDRA LEE BALL | OTR | 1992803852 |
| MS. NANCY KAY LAWTON-SHIRLEY | OTR | 1386745404 |
| MRS. TERESA L. GILLEN | OTR | 1215038070 |
| SARAH SUE GREENE | OTR/L | 1770679060 |
| MARGARET JEAN VANEECKHOUT | OTR | 1346309572 |
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.