Individual
REBECCA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5530 WISCONSIN AVE, CHEVY CHASE, MD 20815-4404
(301) 540-6140
Mailing address
20410 CENTURY BLVD, NRH REGIONAL REHAB - SUITE 215, GERMANTOWN, MD 20874-1186
(301) 540-6140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2506
MD
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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