| Mrs Angela I Wagner, OTR | |
|
705 E Taylor St, Prairie Du Chien, WI 53821-2110 | |
| (608) 357-2000 | |
| (608) 357-2254 |
| Full Name | Mrs Angela I Wagner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 705 E Taylor St, Prairie Du Chien, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598814584 | NPI | - | NPPES |
| 40845700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3757026 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela I Wagner, OTR 705 E Taylor St, Prairie Du Chien, WI 53821-2110 Ph: (608) 357-2000 | Mrs Angela I Wagner, OTR 705 E Taylor St, Prairie Du Chien, WI 53821-2110 Ph: (608) 357-2000 |
Mr. Nathan B Rickertsen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-357-2000 Fax: 608-357-2254 | |
Ms. Kara Ann Clark, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 S State St, Prairie Du Chien, WI 53821 Phone: 262-408-9312 | |
Mrs. Crystal Jean Keeney, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 705 E Taylor St, Prairie Du Chien, WI 53821 Phone: 608-357-2082 |