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Individual
MR. RONNIE A WAGLEY JR.
Active
Individual
MR. RONNIE A WAGLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04564
LOUISIANA STATE BOARD OF PHYSICAL THERAPY EXAMINERS
LA
Enumeration date
10/21/2008
Last updated
02/08/2010
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