Individual provider · Type 1 NPI

Alisa Tabatha Wagner, OTR

Occupational Therapist · Mc Farland, WI

NPI number 1710121793 Active

Practice location

5910 Red Oak Trl
Mc Farland, WI 53558-8828

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4056-026 (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 1710121793

Alisa Tabatha Wagner, OTR's National Provider Identifier is 1710121793, issued on Apr 22, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Mc Farland, WI. The record was last updated on Apr 22, 2009.