Individual
SAMUEL WAAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
611 WATKINS CENTRE PKWY, MIDLOTHIAN, VA 23114-4404
(804) 325-8822
Mailing address
611 WATKINS CENTRE PKWY, MIDLOTHIAN, VA 23114-4404
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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