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

Mary Ann Wagner

Individual provider Pediatric Occupational Therapist · NPI 1285266957

Mary Ann Wagner is a Pediatric Occupational Therapist in Bellingham, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4545 Cordata Pkwy Ste LL4
Bellingham, WA 98226-7263
Phone: (360) 752-5622
Fax: (360) 752-5624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109 — (360) 892-5142

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT61027876 (WA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 61027876 (WA)

Record details

NPI number1285266957
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 10, 2020
Last updated in NPPESSeptember 15, 2024
Certification dateSeptember 15, 2024
Mailing address9414 Ne Fourth Plain Blvd, Vancouver, WA 98662-6109

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