Individual
COURTNEY M WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
337 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 323-8646
(630) 323-8656
Mailing address
337 W OGDEN AVE, WESTMONT, IL 60559-1419
(630) 323-8646
(630) 225-2399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017295
IL
Other
Enumeration date
08/10/2009
Last updated
03/05/2024
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