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Individual

MRS. COLLEEN A WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(608) 348-2331
Mailing address
505 SUNSET RDG, DUBUQUE, IA 52003-7762
(563) 599-0870

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14007-24
WI

Other

Enumeration date
08/28/2017
Last updated
11/01/2017
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