Most Relevant Information
Provider Data
| NPI Number: | 1003392044 |
| Provider Name: | ELIZABETH BAILEY WAGNER MS OTRL |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201008500 |
Most Important Dates
| Enumeration Date: | 07/12/2018 |
| Last Updated: | 07/12/2018 |
Provider Practice Location
7161 W Q AVE
KALAMAZOO
MI
490095951
Practice Location Phone/Fax
| Phone: | 2698707334 |
| Fax: |
Provider Mailing Location
6364 WINDDRIFT AVE
KALAMAZOO
MI
490098923
Provider Mailing Phone/Fax
| Phone: | 2698730910 |
| Fax: |