Michael Charles Wagner
Michael Charles Wagner is an Occupational Therapist in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
170 2nd St SNampa, ID 83651-3708
Phone: (208) 385-3651
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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 OT-1598 (ID) |
|---|
Record details
| NPI number | 1235585191 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 10, 2016 |
| Last updated in NPPES | May 10, 2016 |
| Mailing address | 170 2nd St S, Nampa, ID 83651-3708 |
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