IndividualActive
Alisa Wagner, OTR
NPI 1710121793 · Occupational Therapist · Mc Farland, WI
Provider details
- NPI number
- 1710121793
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4056-026 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5910 Red Oak Trl
Mc Farland, WI 53558-8828
Phone: (608) 217-9924
Approximate (ZIP-level) locationGet directions
Mailing address
5910 Red Oak Trl
Mc Farland, WI 53558-8828
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2009-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.