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Kathleen Wagner, COTA

NPI 1871879452 · on the registry since 2011 · sole proprietor

Practice

Address
979 Weston St
Pea Ridge, AR 72751
Phone
(479) 451-8181
Clinicians at this address
3

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-20

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 Arkansas