Individual
MARY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-5606
Mailing address
7270 NATION RD, MOUNT VERNON, IN 47620-6965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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