Individual
LISA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
477 CONNECTICUT BLVD, STE 200, EAST HARTFORD, CT 06108-3268
(860) 289-6021
Mailing address
76 GRANDE RD, EAST HARTFORD, CT 06118-2044
(860) 568-3244
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000858
LICENSE #
CT
Enumeration date
08/30/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us