Individual
JOSHUA JOSEPH WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2653 BRUCE B DOWNS BLVD STE 201, WESLEY CHAPEL, FL 33544-9206
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29346
FL
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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