Individual
SABRINA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 E BELVIDERE RD, GRAYSLAKE, IL 60030-2218
(847) 796-0848
Mailing address
1931 PRAIRIE SQ APT 222, SCHAUMBURG, IL 60173-4136
(847) 770-2606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004512
IL
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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