Individual
ANTHONY CHARLES WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1103 BUTTE HOUSE RD STE D, YUBA CITY, CA 95991-3109
(530) 329-8490
Mailing address
1103 BUTTE HOUSE RD STE D, YUBA CITY, CA 95991-3109
(530) 329-8490
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
296427
CA
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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