Mrs. Bonny Michelle Wagner
Occupational Therapist - Hand
663 Sunset Ln
Culpeper
, Virginia 22701-3919
Mrs. Bonny Michelle Wagner
Occupational Therapist - Hand
663 Sunset Ln
Culpeper
, Virginia 22701-3919
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Mrs. Bonny Michelle Wagner
- 1503 Wrights Ln
- Radiant, VA
- Zip : 22732-3254
- Phone :
Second Address
- Mrs. Bonny Michelle Wagner
- 663 Sunset Ln
- Culpeper, VA
- Zip : 22701-3919
- Fax : (540) 829-0937
- Phone : (540) 825-5368
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 0119000341 | VA |
National Provider Identifier
| NPI | 1114029204 |
|---|---|
| Provider Name | Mrs. Bonny Michelle Wagner |
| First Address | Radiant, VA 22732-3254 |
| Second Address | Culpeper, VA 22701-3919 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 294919 | MAMSI (01) | VA |
| 334575 | ANTHEM BCBS (01) | VA |
| 7727302 | AETNA (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.