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

Kimberly Wagner, MS, OTRL

Individual provider Occupational Therapist · NPI 1861885477

Kimberly Wagner, MS, OTRL is an Occupational Therapist in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

23936 Michigan Ave
Dearborn, MI 48124-1833
Phone: (313) 278-4601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 5201001795 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 5201001795 (MI)

Record details

NPI number1861885477
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTRL
Sole proprietorNo
NPI enumeratedMarch 7, 2015
Last updated in NPPESJuly 30, 2019
Mailing address15045 Belmont Ave, Allen Park, MI 48101-1605

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