Mrs Amanda K Wagner, SLP | |
1610 N Countyline St, Fostoria, OH 44830-1938 | |
(419) 447-7203 | |
(419) 447-5577 |
Full Name | Mrs Amanda K Wagner |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1610 N Countyline St, Fostoria, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134183650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 7019 (Ohio) | Primary |
Provider Name | Integrated Orthopaedic & Sports Rehabilitation Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275827149 PECOS PAC ID: 6002085370 Enrollment ID: O20110803000702 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda K Wagner, SLP Po Box 833, Tiffin, OH 44883-0833 Ph: (419) 447-7203 | Mrs Amanda K Wagner, SLP 1610 N Countyline St, Fostoria, OH 44830-1938 Ph: (419) 447-7203 |
Taylor Marie Kneip, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 455 W 4th St Ste 10, Fostoria, OH 44830 Phone: 419-436-8320 | |
Sharon Perez, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Park Ave, Fostoria, OH 44830 Phone: 419-436-4103 | |
Mrs. Gayle D Guernsey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Park Ave, Fostoria, OH 44830 Phone: 419-435-8163 | |
Sadie Lynne Sneider, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 455 W 4th St Ste 10, Fostoria, OH 44830 Phone: 419-436-8320 | |
Miss Carolyn Bauer, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 Plaza Dr, Fostoria, OH 44830 Phone: 419-436-8321 | |
Audreigh Riter, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Park Ave, Fostoria, OH 44830 Phone: 419-806-7933 |