Individual
MS. CHRISTINE LOUISE WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
42 SUBURBAN PKWY, WARWICK, RI 02889-9721
(401) 487-2027
Mailing address
42 SUBURBAN PKWY, WARWICK, RI 02889-9721
(401) 487-2027
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA00539
RI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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