Individual provider · Type 1 NPI

Jessica Ann Wagner, OTR/L

Occupational Therapist · Sheboygan, WI

NPI number 1699643312 Active

Practice location

3620 Wilgus Ave
Sheboygan, WI 53081-3068

Call (920) 208-9648 Map

Mailing address

665 Heritage Ct
Grafton, WI 53024-1180

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X9025-26 (WI)

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 1699643312

Jessica Ann Wagner, OTR/L's National Provider Identifier is 1699643312, issued on Oct 24, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Sheboygan, WI. The record was last updated on Oct 24, 2025.