Individual
MR. JUSTIN ROMAN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
REC CENTER PHYSICAL THERAPY, 400 COLLINS RD NE 154-100, CEDAR RAPIDS, IA 52498-0001
(319) 295-8899
(319) 295-8833
Mailing address
REC CENTER PHYSICAL THERAPY, 400 COLLINS RD NE 154-100, CEDAR RAPIDS, IA 52498-0001
(319) 295-8899
(319) 295-8833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03670
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38070
WELLMARK PROVIDER NUMBER
IA
Enumeration date
01/10/2006
Last updated
10/02/2013
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