Wagner, Mary Jo

Wagner, Mary Jo is an individual health care provider with primary practice located at 54 Parramatta Rd , Beverly MA 01915-1970. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wagner, Mary Jo can be contacted via phone (978) 921-8751.

Contact Information

Primary practice address
54 Parramatta Rd Beverly MA 01915-1970
Phone: (978) 921-8751
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 422 Massachusetts

Profile Details

NPI number 1043251358
LBN Legal business name Wagner, Mary Jo
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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