Individual
ALLISON NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
179 LINWOOD AVE UNIT A-4, COLCHESTER, CT 06415-1100
(860) 603-3900
Mailing address
10219 VILLA PALAZZO CT, TAMPA, FL 33615-3098
(845) 489-1320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
044682
NY
225100000X
Physical Therapist
Primary
14827
CT
Other
Enumeration date
09/16/2019
Last updated
10/17/2025
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