Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRYAN J WAGNER, OT, ATC, LAT
ActiveMR. BRYAN J WAGNER, OT, ATC, LAT is a Occupational Therapist healthcare provider located in JACKSONVILLE, Florida. NPI 1871016295 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1871016295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2017 (9.1000777149404 yrs)
- Last Updated
- Oct 21, 2024
- Licenses
-
AL4839 (FL)OT24282 (FL)
Practice Information
- Address
-
4500 SAN PABLO RD SJACKSONVILLE, FL, 322241865Browse FL providers · Browse ZIP 32224
- Phone
- 9049532000
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANN SEGLER | OT | 1922003342 |
| ELISABETH CULLUM MCGEE | OT | 1821093295 |
| DIANA V CRATEM | OT | 1457356867 |
| JULIA DIANE GUTHART | OT | 1275538696 |
| DE'ATRA PRUETT CLARK | OT | 1164427209 |
| HEATHER L LOPEZ | OTR/L, CHT | 1629075502 |
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.