Individual provider · Type 1 NPI
Elise Marie Wagner
Occupational Therapist · Bristol, IL
Practice location
23 Hunt St
Bristol, IL 60512-2003
Mailing address
321 Spring St
Batavia, IL 60510-2321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 056009322 (IL) |
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…
Another provider at this address
About NPI 1144710997
Elise Marie Wagner's National Provider Identifier is 1144710997, issued on May 17, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Bristol, IL. The record was last updated on May 17, 2018.