Individual
MEAGHAN A WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9110 PHILADELPHIA RD STE 314, BALTIMORE, MD 21237-4327
(410) 616-1401
(410) 686-6915
Mailing address
8322 BELLONA AVE STE 100, TOWSON, MD 21204-2065
(410) 337-8847
(410) 337-5189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27784
MD
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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