Individual
MEG WAGNER RODNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11426 E DEL GOLFO, YUMA, AZ 85367-8952
(928) 210-2413
(928) 819-7019
Mailing address
PO BOX 25385, YUMA, AZ 85367-1317
(928) 210-2413
(928) 819-7019
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5016
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465113
—
AZ
Enumeration date
03/21/2008
Last updated
10/07/2010
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