IndividualActive
Amanda Wagner, MS, OTR/L
NPI 1154399152 · Occupational Therapist · Colbert, GA
Provider details
- NPI number
- 1154399152
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT003237 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Behavioral Health & Social Service Providers
Practice location
11 Charlie Morris Rd Bldg 2
Colbert, GA 30628-2445
Phone: (706) 788-2127
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 459
Colbert, GA 30628-0459
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2018-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.