Individual
MRS. DIANA TERESA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
30 OLD SCHUYLKILL RD, POTTSTOWN, PA 19465-7971
(610) 705-3737
(484) 624-5985
Mailing address
30 OLD SCHUYLKILL RD, POTTSTOWN, PA 19465-7971
(610) 705-3737
(484) 624-5985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008968L
PA
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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