Individual
MRS. ANITA F WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(215) 620-9449
(215) 441-1335
Mailing address
912 GLADWYN RD, WARMINSTER, PA 18974-4080
(215) 441-1334
(215) 441-1335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005747L
PA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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