Individual
EUGENE ANTHONY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1500 FIFTH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2221
Mailing address
860 NORTHEAST DR, NORTH HUNTINGDON, PA 15642-1980
Taxonomy
Speciality
Code
Description
License number
State
2251C2600X
Cardiopulmonary Physical Therapist
Primary
PT008882L
PA
Other
Enumeration date
01/13/2010
Last updated
03/18/2021
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