Individual provider · Type 1 NPI

Adelyn Lee Wagner, OTRL

Occupational Therapist · Hermann, MO

NPI number 1699830331 Active

Practice location

509 W. 18th St.
Hermann, MO 65041-0470

Fax (573) 486-5021

Mailing address

623 Epple Fricke Dr
Hermann, MO 65041-1703

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X000587 (MO)

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 1699830331

Adelyn Lee Wagner, OTRL's National Provider Identifier is 1699830331, issued on Dec 22, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hermann, MO. The record was last updated on Jul 8, 2007.