Individual
KARYN ELIZABETH WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Mailing address
1385 JEFFREY CT W, CARMEL, IN 46032-1278
(317) 403-7997
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05008732A
IN
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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