Individual
DR. CHRISTOPHER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2433 COUNTRY PLACE BLVD, BLDG B, TRINITY, FL 34655-1163
(813) 844-4578
Mailing address
2433 COUNTRY PLACE BLVD, BLDG B, TRINITY, FL 34655-1163
(813) 844-4578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28516
FL
Other
Enumeration date
07/16/2014
Last updated
10/15/2014
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