Individual provider · Type 1 NPI

Carole Sue Wagner, O.T.R./L

Specialist · St. Louis, MO

NPI number 1275583544 Active

Practice location

1 Jefferson Barracks Dr
St. Louis, MO 63125-4181

Call (314) 894-6505 Map

Fax (314) 845-5077

Mailing address

862 Pheasant Woods Dr
Manchester, MO 63021-4300

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2004012994 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275583544

Carole Sue Wagner, O.T.R./L's National Provider Identifier is 1275583544, issued on May 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 13, 2026.