Individual
KAREN L WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 EXECUTIVE DR, SUITE 100, CRANBERRY TOWNSHIP, PA 16066-6442
(724) 779-1300
Mailing address
126 BRIARWOOD LN, CRANBERRY TOWNSHIP, PA 16066-4710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000350
PA
Other
Enumeration date
01/17/2011
Last updated
01/04/2012
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