Individual
CAMERON WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, NCS
Contact information
Practice address
400 MADISON ST APT 1406, ALEXANDRIA, VA 22314-1724
(901) 288-8062
Mailing address
PO BOX 25451, ALEXANDRIA, VA 22313-5451
(901) 288-8063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212507
VA
Other
Enumeration date
10/22/2018
Last updated
06/17/2024
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