Individual
OLIVIA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37031 OLD MILL BRIDGE RD UNIT 2, SELBYVILLE, DE 19975-3940
(302) 564-7476
(302) 564-7481
Mailing address
PO BOX 392573, PITTSBURGH, PA 15251-1661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0015135
DE
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
01/16/2026
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