SearchIllinoisOccupational Therapist

Elise Wagner

NPI 1144710997 · on the registry since 2018

Practice

Address
23 Hunt St
Bristol, IL 60512
Phone
(630) 553-4383
Clinicians at this address
2

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois