Individual
CATERINA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(248) 556-9156
Mailing address
21700 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-4906
(248) 556-9156
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001347
MI
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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