Tamara D Wagner, OTR | |
3716 Lake Country Dr, Denton, TX 76210-3305 | |
(940) 390-4000 | |
(940) 535-1147 |
Full Name | Tamara D Wagner |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3716 Lake Country Dr, Denton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528254778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 104360 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Tamara D Wagner, OTR 3716 Lake Country Dr, Denton, TX 76210-3305 Ph: (940) 390-4000 | Tamara D Wagner, OTR 3716 Lake Country Dr, Denton, TX 76210-3305 Ph: (940) 390-4000 |
Diana Britt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5112 Edwards Rd, Denton, TX 76208 Phone: 469-662-8224 | |
Hope Pediatric Therapy & Learning, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2435 W Oak St Ste B, Denton, TX 76201 Phone: 940-230-2200 | |
Rebecca Roach, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 723 S Interstate 35 E, Denton, TX 76205 Phone: 800-340-4098 Fax: 817-789-6849 | |
Michael Browne, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2620 Scripture St, Denton, TX 76201 Phone: 940-297-6532 | |
Erin Michelle Byrom, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2620 Scripture St, Denton, TX 76201 Phone: 940-297-6530 | |
Holly Dollar, MOT, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1104 N Elm St, Denton, TX 76201 Phone: 940-206-9009 Fax: 940-323-0473 | |
Mrs. Fatemeh Shams Gakieh, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 N Bonnie Brae St, Denton, TX 76201 Phone: 940-383-2361 |