Individual
RACHEL ANN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12812 OLD GLENN HWY, STE A5, EAGLE RIVER, AK 99577-7002
(907) 317-9349
Mailing address
12110 BUSINESS BLVD, STE 6 PMB 413, EAGLE RIVER, AK 99577-7741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
101078
AK
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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