Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Tabatha Wagner, OTR

Individual provider Occupational Therapist · NPI 1710121793

Alisa Tabatha Wagner, OTR is an Occupational Therapist in Mc Farland, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

5910 Red Oak Trl
Mc Farland, WI 53558-8828
Phone: (608) 217-9924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4056-026 (WI)

Record details

NPI number1710121793
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 22, 2009
Last updated in NPPESApril 22, 2009

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