SANDRA M WAGONER OT - NPI 1518017797 - Occupational Therapist in Charlottesville, VA

Q: What is the provider's specialty?

The provider's specialty is Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.

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About Sandra M Wagoner Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA M WAGONER OT (NPI 1518017797) is an individual hand provider in Charlottesville, Virginia, licensed in Virginia (0119000123) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1518017797

Entity TypeIndividualFemale

Primary Taxonomy225XH1200X

Provider Legal NameSANDRA M WAGONERCredential: OT

Location Address410 ALBEMARLE SQCharlottesville, VA 22901-7400

Mailing AddressPo Box 1583Charlottesville, VA 22902-1583 · (434) 654-7794 · Fax (434) 654-7752

Phone(434) 817-4278

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateDecember 20, 2010

✔ NPI 1518017797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225XH1200X

License✔ Licensed in VA · 0119000123

410 ALBEMARLE SQ, Charlottesville, VA 22901

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Other Identifiers 1

Medicare PINVAA103185VA

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY SONKIN THRUSTON MOT OTRL CHT

Occupational Therapist (Hand)