Individual provider · Type 1 NPI
Marie A. Wagner
Contractor · Port St. Lucie, FL
Practice location
365 SW Log Dr
Port St. Lucie, FL 34953-7501
Fax (772) 408-0998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | 19-3549-004-08 (FL) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1184895070
Marie A. Wagner's National Provider Identifier is 1184895070, issued on Mar 18, 2008. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Mar 18, 2008.