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Contact Information

SANDRA M WAGONER, OT
410 ALBEMARLE SQ
CHARLOTTESVILLE, VA22901-7400
 Phone: 434-817-4278
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SANDRA M WAGONER · (Female)

NPI # 1518017797
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 01/11/2007
Last updated 12/20/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119000123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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