Individual
GEOFFREY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1208 LANGHORNE NEWTOWN RD, LANGHORNE, PA 19047-1234
(267) 560-1100
Mailing address
2558 RIVER RD, MANASQUAN, NJ 08736-2434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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