Individual
MR. SCOTT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6849 OLD DOMINION DR, MCLEAN, VA 22101-3724
(703) 848-9333
Mailing address
516 GREENWICH ST, FALLS CHURCH, VA 22046-2501
(703) 587-8670
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305202514
VA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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