Individual
JEFFERY B WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1322 WOODLAWN AVE, SUITE 1, NAPOLEON, OH 43545-1178
(419) 599-0888
Mailing address
1322 WOODLAWN AVE, SUITE 1, NAPOLEON, OH 43545-1178
(419) 599-0888
(419) 599-0087
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9958
OH
Other
Enumeration date
09/12/2006
Last updated
03/05/2014
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