Individual
ANASTASIA WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2805 E GRAPEVINE MILLS CIR, GRAPEVINE, TX 76051-1210
(682) 477-8040
Mailing address
1501 NORTHSTAR RD APT 8302, DENTON, TX 76208-1634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1386070
TX
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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