Individual
WILLIAM ALBERT WAGNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 887-5705
Mailing address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 887-5705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4905
OH
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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