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

Individual provider Occupational Therapist · NPI 1720353311

MS. Nicole Wagner, OT is an Occupational Therapist in Keystone Heights, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

465 S Lawrence Blvd
Keystone Heights, FL 32656-9222
Phone: (352) 473-7560
Fax: (352) 476-7566
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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 OT9143 (FL)

Record details

NPI number1720353311
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012