IndividualActive
Alissa Wagner, MOTR/L
NPI 1174222103 · Occupational Therapist · Brookfield, WI
Provider details
- NPI number
- 1174222103
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8163-26 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3360 Gateway Rd
Brookfield, WI 53045-5115
Phone: (414) 964-4777
Fax: (414) 964-4778
Approximate (ZIP-level) locationGet directions
Mailing address
608 Laurel Lake Rd Apt 7
Thiensville, WI 53092-1240
Registry dates
- Enumerated
- 2023-02-28
- Last updated
- 2023-02-28
- Certified
- 2023-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.