| Tanner Keith Wagner, | |
|
20716 Riverside Dr, Grundy, VA 24614-6747 | |
| (276) 935-6496 | |
| Not Available |
| Full Name | Tanner Keith Wagner |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 20716 Riverside Dr, Grundy, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043032154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 0119010676 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Keith Wagner, 20716 Riverside Dr, Grundy, VA 24614-6747 Ph: (276) 935-6496 | Tanner Keith Wagner, 20716 Riverside Dr, Grundy, VA 24614-6747 Ph: (276) 935-6496 |
Megan Hall, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20716 Riverside Dr, Grundy, VA 24614 Phone: 276-935-6496 | |
Merritt Physical Therapy & Rehabilitation Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20716 Riverside Dr, Grundy, VA 24614 Phone: 276-935-6496 Fax: 276-935-5852 |