Brianna Wagner
Brianna Wagner is a Developmental Therapist in Port Saint Lucie, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1084 SW Benchor AvePort Saint Lucie, FL 34953-3424
Phone: (772) 301-4566
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1275125635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2021 |
| Last updated in NPPES | February 8, 2021 |
| Certification date | February 8, 2021 |
| Mailing address | 1084 Sw Benchor Ave, Port Saint Lucie, FL 34953-3424 |
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