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

Individual provider Occupational Therapy Assistant · NPI 1710162300

Sandra Kay Wagner, COTA is an Occupational Therapy Assistant in Lithia, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

6131 Ibispark Dr
Lithia, FL 33547-3909
Phone: (941) 722-6634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA9826 (FL)

Record details

NPI number1710162300
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 2, 2008
Last updated in NPPESJanuary 2, 2008

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