Jennifer L. Wagner

Occupational Therapy Assistant · Justin, TX

Individual Active NPI

NPI number 1003370545

Practice location

120 Meadow View Dr
Justin, TX 76247-9639
Phone
(940) 648-2731

Open in Google Maps

NPI record

NPI
1003370545
Entity type
Individual (Type 1)
Enumeration date
January 29, 2019
Last updated
January 29, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 212402 TX

Mailing address

10711 Justin Cemetery Rd Lot 264
Justin, TX 76247-8032

About Jennifer Wagner

Jennifer L. Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 120 Meadow View Dr, Justin, TX 76247-9639. The NPI number 1003370545 was assigned on January 29, 2019 and the record was last updated on January 29, 2019.

Jennifer Wagner lists a license in the registry: #212402 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer L. Wagner?

The NPI number is 1003370545.

What is the phone number of Jennifer Wagner?

The phone number listed for the practice location is (940) 648-2731.

Where is Jennifer Wagner located?

120 Meadow View Dr, Justin, TX 76247-9639.

What is the taxonomy code for Jennifer Wagner?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Occupational Therapy Assistant providers in Justin

All Occupational Therapy Assistant providers in Justin, TX →