Individual
JENNIFER M. WAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
730 KILBOURNE DR, GREENWOOD, IN 46142-1831
(317) 607-0702
Mailing address
730 KILBOURNE DR, GREENWOOD, IN 46142-1831
(317) 607-0702
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006962A
IN
Other
Enumeration date
11/06/2006
Last updated
09/02/2016
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