MEDICARE: DONNA WAGNER OTR/L,CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OT 2712	FL

General Provider Information

NPI Number	:	1245328657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA WAGNER OTR/L,CHT

Provider Business Mailing Address
First Line	:	787 37TH ST STE E110
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-7319
Country	:	US
Telephone Number	:	772-562-6401
Fax Number	:	772-562-6011

Provider Business Practice Location Address
First Line	:	787 37TH ST STE E110
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-7319
Country	:	US
Telephone Number	:	772-562-6401
Fax Number	:	772-562-6011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	12/08/2009

Similar Medicare Providers

1801408208 — TREASURE COAST KETAMINE WELLNESS & IV NUTRITION CENTER
Practice Location Address:

787 37TH ST STE E110
VERO BEACH, FL
32960-7319

Practice Phone: 772-907-5917
Practice Fax: 772-907-5917

1477984938 — CHERYL DIEDOLF COTA
Practice Location Address:

787 37TH ST STE E110 , INDIAN RIVER HAND & UPPER EXTREMITY REHABILITATION
VERO BEACH, FL
32960-7319

Practice Phone: 772-562-6401
Practice Fax: 772-562-6011

1457332819 — DR. VALERIE G. DAVIS M.D.
Practice Location Address:

504 S ORANGE ST
NEW SMYRNA BEACH, FL
32168-7319

Practice Phone: 386-423-2218
Practice Fax: 386-427-0980

1972573558 — DR. BYRON DAVID BREININGER DDS
Practice Location Address:

1453 KEMPSVILLE RD , SUITE #104
VIRGINIA BEACH, VA
23464-7319

Practice Phone: 757-467-9622
Practice Fax: 757-467-6920

1477741916 — VALERIE G. DAVIS, M.D.
Practice Location Address:

504 S ORANGE ST
NEW SMYRNA BEACH, FL
32168-7319

Practice Phone: 386-423-2218
Practice Fax: 386-427-0980

1790937118 — MRS. ELIZABETH P. OCHS REIKI RM
Practice Location Address:

7319 HERMOSA BEACH RD
TULALIP, WA
98271-6106

Practice Phone: 425-327-5457
Practice Fax:

Directions to “ DONNA WAGNER OTR/L,CHT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.