Individual
MISS AUBREY S WAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
404 W WILLOW RD, DALE, IN 47523-8947
(812) 937-4489
Mailing address
106 JAMESTOWN SQ APT 6, WASHINGTON, IN 47501-4408
(812) 787-1457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004071A
IN
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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