Individual
EMILY WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 E HWY 290 STE F104, AUSTIN, TX 78723-1042
(512) 298-2856
Mailing address
6448 E HWY 290 STE F104, AUSTIN, TX 78723-1042
(317) 362-3046
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1401335
TX
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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