Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY DANIELLE WAGNER, PTA
Active Sole ProprietorOccupational Therapist · BRUNSWICK, GA
Registration Details
- NPI Number
- 1881925592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 20, 2010 (16.289843614611 yrs)
- Last Updated
- Dec 18, 2015
- License
-
PTA001543 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 FISH HALL RDBRUNSWICK, GA, 315237405Browse GA providers · Browse ZIP 31523
- Phone
- 6786877390
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BRUNSWICK, GA
| Name | Credential | NPI |
|---|---|---|
| LAUREEN KATHERINE KRAKOWSKI | PTA | 1598995474 |
| KELLI TOTH | PTA | 1659607893 |
| CHRISTINA BATES | — | 1669838934 |
| MARCIA BEAUCHAMP | PTA | 1922595917 |
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.