Individual
BRIANNA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4176 HILL TERRACE DR, SINKING SPRING, PA 19608-9367
(610) 301-3977
Mailing address
4176 HILL TERRACE DR, SINKING SPRING, PA 19608-9367
(610) 301-3977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005831
PA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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