Individual
KERI NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 FOUNDERS WAY STE 1, STRASBURG, VA 22657-3791
(540) 465-2505
(540) 465-2511
Mailing address
8316 ARLINGTON BLVD, SUITE 400, FAIRFAX, VA 22031-5207
(703) 560-3190
(703) 560-3194
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206853
VA
Other
Enumeration date
11/17/2009
Last updated
10/13/2020
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