Wagner, Mindy

Wagner, Mindy is an sole proprietor health care provider with primary practice located at 401 Crystal Pl , Seal Beach CA 90740-6219. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wagner, Mindy can be contacted via phone (562) 310-9257.

Contact Information

Primary practice address
401 Crystal Pl Seal Beach CA 90740-6219
Phone: (562) 310-9257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 9000 California

Profile Details

NPI number 1306268057
LBN Legal business name Wagner, Mindy
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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