Patricia Anne Wagner
Orientation and Mobility Training Provider
1401 Blackfoot Trl
Woodland Park
, Colorado 80863-8304
Patricia Anne Wagner
Orientation and Mobility Training Provider
1401 Blackfoot Trl
Woodland Park
, Colorado 80863-8304
(719) 686-1938
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About
Features
Specialties
- Orientation and Mobility Training Provider
Languages spoken
- English
Location
First Address
- Patricia Anne Wagner
- 1401 Blackfoot Trl
- Woodland Park, CO
- Zip : 80863-8304
- Phone : (719) 686-1938
Second Address
- Patricia Anne Wagner
- 1401 Blackfoot Trl
- Woodland Park, CO
- Zip : 80863-8304
- Phone : (719) 686-1938
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225CX0006X | Orientation and Mobility Training Provider | 3518 | CO |
National Provider Identifier
| NPI | 1215332705 |
|---|---|
| Provider Name | Patricia Anne Wagner |
| First Address | Woodland Park, CO 80863-8304 |
| Second Address | Woodland Park, CO 80863-8304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2014 |
| Last Update Date | 27/10/2014 |
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.