Individual
MRS. TIFFANY WAGNER AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
316 HUTCHINS WAY, SALISBURY, NC 28146-7431
(704) 239-1404
Mailing address
316 HUTCHINS WAY, SALISBURY, NC 28146-7431
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
6628
NC
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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