Individual
MS. REBECCA WAGNAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1600 PRAIRIE CENTER PKWY, BRIGHTON, CO 80601-4006
(303) 498-1840
(303) 498-1845
Mailing address
2149 PINON CIR, ERIE, CO 80516-7958
(303) 543-0970
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTL-9435
CA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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