Individual
SARAH WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
Mailing address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 330-8433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004717
IA
225100000X
Physical Therapist
Primary
2950
NE
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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