Organization
PATIENT FIRST REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW T WAGNER PT COMMA ATC (PT OWNER)
(260) 312-0026
Entity
Organization
Contact information
Practice address
10205 HICKORY VALLEY DR, FORT WAYNE, IN 46835-9558
(260) 312-0026
Mailing address
10205 HICKORY VALLEY DR, FORT WAYNE, IN 46835-9558
(260) 312-0026
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2007
Last updated
08/22/2020
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