Individual provider · Type 1 NPI

Kimberly Wagner, MS, OTRL

Specialist · Dearborn, MI

NPI number 1861885477 Active

Practice location

23936 Michigan Ave
Dearborn, MI 48124-1833

Call (313) 278-4601 Map

Mailing address

15045 Belmont Ave
Allen Park, MI 48101-1605

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X5201001795 (MI)
Specialist Primary 174400000X5201001795 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861885477

Kimberly Wagner, MS, OTRL's National Provider Identifier is 1861885477, issued on Mar 7, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dearborn, MI. The record was last updated on Jul 30, 2019.