Individual
ANDREW WAGNER-WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5000 LONG PRAIRIE RD, SUITE 200, FLOWER MOUND, TX 75028-2783
(214) 222-6699
Mailing address
5000 LONG PRAIRIE RD, SUITE 200, FLOWER MOUND, TX 75028-2783
(214) 222-6699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
179648
TX
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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