Individual provider · Type 1 NPI

Shinnayha Nicole Wagner

Occupational Therapy Assistant · Phoenix, AZ

NPI number 1649771445 Active

Practice location

13220 S 48th St Apt 1112
Phoenix, AZ 85044-5013

Call (928) 551-1020 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7346 (AZ)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1649771445

Shinnayha Nicole Wagner's National Provider Identifier is 1649771445, issued on Feb 27, 2018. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 16, 2018.