Individual provider · Type 1 NPI

Jacqueline Rae Wagner, OTR/L

Occupational Therapist · Hudson, WI

NPI number 1861646010 Active

Practice location

1818 Stone Crk
Hudson, WI 54016-9338

Other practice locations

  • 1246 University Ave W Ste 100, St. Paul, MN 55104-4183 · (651) 603-8774

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Occupational Therapist 225X00000X103369 (MN)
Occupational Therapist Primary 225X00000X6780-26 (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 1861646010

Jacqueline Rae Wagner, OTR/L's National Provider Identifier is 1861646010, issued on Nov 13, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Hudson, WI. The record was last updated on Mar 22, 2021.