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Individual

ALYSON NICOLE WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, MS

Contact information

Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.022488
IL

Other

Enumeration date
09/07/2016
Last updated
11/17/2022
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