IndividualActive
Emily Wagner, DT-C
NPI 1194206243 · Developmental Therapist · Reston, VA
Provider details
- NPI number
- 1194206243
- Entity type
- Individual
- Primary specialty
- Developmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DT-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 29001978A (IN)
Practice location
11720 Plaza America Dr Fl 9
Reston, VA 20190-4757
Phone: (866) 968-7512
Mailing address
11720 Plaza America Dr Fl 9
Reston, VA 20190-4757
Registry dates
- Enumerated
- 2018-08-27
- Last updated
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.