Individual
ELIZABETH ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16819 TORRENCE AVE, LANSING, IL 60438-6019
(708) 394-5215
(708) 474-3853
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022160
IL
225100000X
Physical Therapist
PT30032
FL
Other
Enumeration date
01/23/2015
Last updated
04/12/2019
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