Individual provider · Type 1 NPI

Michael Charles Wagner

Occupational Therapist · Nampa, ID

NPI number 1235585191 Active

Practice location

170 2nd St S
Nampa, ID 83651-3708

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-1598 (ID)

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 1235585191

Michael Charles Wagner's National Provider Identifier is 1235585191, issued on May 10, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Nampa, ID. The record was last updated on May 10, 2016.