# MS. MARGARET (PEG) A WANTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710949235
- **Gender:** F
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 12189-24 | WI | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 01/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2010793355 | PRESBYTERIAN HEALTHCARE | NM |
| 01 | — | 850395469 | TRICARE | NM |
| 01 | — | NM00Q500 | BCBS PROVIDER \# | NM |