Individual
ERIN VAN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
1196 S BEECHAM RD, WILLIAMSTOWN, NJ 08094-2163
(856) 889-7619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00362100
NJ
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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