IndividualActive
Scott Wagner, MSOTR/L
NPI 1538486162 · Pediatric Occupational Therapist · Bismarck, ND
Provider details
- NPI number
- 1538486162
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSOTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 1131 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1615 Capitol Way
Bismarck, ND 58501-2218
Phone: (701) 751-0410
Approximate (ZIP-level) locationGet directions
Mailing address
1615 Capitol Way
Bismarck, ND 58501-2218
Registry dates
- Enumerated
- 2010-04-21
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.