Individual
AMBER NICOLE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 N FEDERAL HWY STE 2, POMPANO BEACH, FL 33064-6519
(888) 880-9270
(954) 342-0273
Mailing address
3903 BARRINGTON ST, APT 2705, SAN ANTONIO, TX 78217-4160
(210) 563-2672
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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