Individual
PATRICIA M WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
126 HANOVER ST, CARNEGIE, PA 15106-1204
(412) 390-6462
Mailing address
126 HANOVER ST, CARNEGIE, PA 15106-1204
(412) 390-6462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008757
PA
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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