Individual
ADAM WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
203 E MAIN ST STE A, TRUMANSBURG, NY 14886-8908
(607) 213-3300
Mailing address
203 E MAIN ST STE A, TRUMANSBURG, NY 14886-8908
(607) 213-3300
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
051603
NY
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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