Individual
THOMAS WAGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
958 E MAIN ST STE B, SPARTANBURG, SC 29302-2148
(864) 278-0431
(864) 278-0461
Mailing address
PO BOX 6526, COLUMBIA, SC 29260-6526
(803) 693-5040
(803) 993-9472
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11708
SC
Other
Enumeration date
08/07/2015
Last updated
10/23/2024
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