Individual
ANDREW WAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E WASHINGTON ST, APT. 102, MOUNT PLEASANT, IA 52641-1857
(319) 931-1210
Mailing address
1515 E WASHINGTON ST, MOUNT PLEASANT, IA 52641-1857
(319) 931-1210
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005085
IA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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