Individual
DR. ABIGAIL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
511 N BROAD ST, PHILADELPHIA, PA 19123-3230
(215) 923-6031
Mailing address
3895 HILL CHURCH RD, LEBANON, PA 17046-9352
(717) 304-7004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT029874
PA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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