Wagner, Rhonda Sue

Wagner, Rhonda Sue is an individual health care provider with primary practice located at N27W5707 Lincoln Blvd , Cedarburg WI 53012. 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, Rhonda Sue can be contacted via phone (262) 376-7676.

Contact Information

Primary practice address
N27W5707 Lincoln Blvd Cedarburg WI 53012
Fax: (262) 376-5808
Website:

Health care specialties

Profile Details

NPI number 1902018005
LBN Legal business name Wagner, Rhonda Sue
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 16th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902018005 NPPES
Wisconsin MEDICAID 40823800

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