WAGNER, MARIAH NICOLE - Licensee Information

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Last Update: Saturday, May 4, 2024 4:53 PM CDT
Next Update: Sunday, May 5, 2024 2:50 AM CDT

WAGNER, MARIAH NICOLE

Practice Address:	MERCY THERAPY SERVICES- I-35 2301 W I- 35 FRONTAGE RD EDMOND OK 73013 Address last updated on 2/23/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	5816
Dated:	6/8/2020
Expires:	1/31/2025
Temp. Ltr. Issued:	6/4/2020
Temp. Ltr. Expires:	7/30/2020
License Type:	Physical Therapist
Specialty:

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
MERCY THERAPY SERVICES- I-35 2301 W I- 35 FRONTAGE RD EDMOND OK 73013 Phone #: Fax #:

Name:	Type:	License Number:
Primary Supervisees(s):
DEBRA ANN ALEXANDER	TA	1576
LAURYN ASHLEIGH BECERRA	TA	3537
JADE KOREY BELL	TA	2036
REGAN COIL	TA	3151
ZORRO W DANIELS	TA	3589
WESUI CHAUNTE' GILMORE	TA	2049
EMILY G HAM	TA	3234
JOHN MICHAEL HAMMON	TA	1148
BRANDI LASHELLE HARRIS	TA	2677
MELODY MELINDA HOPPERS	TA	1616
PIERRE NGALANI	TA	2380
KARA VARGHESE	TA	3450
ARALYN PAIGE WILLIAMS	TA	3226