| Patricia Wagner, OT | |
|
11230 Cornell Park Dr, Blue Ash, OH 45242-1825 | |
| (513) 880-6800 | |
| Not Available |
| Full Name | Patricia Wagner |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 11230 Cornell Park Dr, Blue Ash, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225214083 | NPI | - | NPPES |
| 2187155 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OT001966 (Ohio) | Primary |
| Provider Name | Big Blue Canopy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548820772 PECOS PAC ID: 4880029123 Enrollment ID: O20200115001259 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Wagner, OT 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 | Patricia Wagner, OT 11230 Cornell Park Dr, Blue Ash, OH 45242-1825 Ph: (513) 880-6800 |
Nadege Mondesir, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10123 Alliance Rd Ste 300, Blue Ash, OH 45242 Phone: 513-676-3040 | |
Tanner Elizabeth Rosenblum, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6100 Hagewa Dr, Blue Ash, OH 45242 Phone: 513-686-1720 | |
Lauren Cornett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 Carver Woods Dr, Blue Ash, OH 45242 Phone: 513-791-5688 | |
Judi Pollak, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5959 Hagewa Dr, Blue Ash, OH 45242 Phone: 513-686-1780 Fax: 513-791-4873 | |
Abby O'brien Reagan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5150 Belleview Ave, Blue Ash, OH 45242 Phone: 513-680-2685 | |
Kari Leigh Batton, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4351 Sycamore Creek Dr, Blue Ash, OH 45242 Phone: 513-230-9200 | |
Rebecca Henderson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4440 Carver Woods Dr, Blue Ash, OH 45242 Phone: 513-791-5688 |