Individual provider · Type 1 NPI

Tanner Keith Wagner

Occupational Therapist · Grundy, VA

NPI number 1043032154 Active

Practice location

20716 Riverside Dr
Grundy, VA 24614-6747

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X0119010676 (VA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1043032154

Tanner Keith Wagner's National Provider Identifier is 1043032154, issued on Oct 29, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Grundy, VA. The record was last updated on Oct 29, 2024.