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Individual

AUSTIN WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ACSM-EP

Contact information

Practice address
3000 S STATE ROAD 135, GREENWOOD, IN 46143-9825
(317) 497-6000
(317) 497-2514
Mailing address
238 S RURAL ST, INDIANAPOLIS, IN 46201-4262
(317) 650-9001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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