Individual
BRIANNA MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1915 GUERNSEY AVE, ABINGTON, PA 19001-3701
(215) 659-8600
(215) 659-4498
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030792
PA
Other
Enumeration date
08/30/2022
Last updated
09/07/2022
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