Individual
COURTNEY WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 W TOWNSHIP ROAD 84, FOSTORIA, OH 44830-9591
(419) 575-6315
Mailing address
10000 W TOWNSHIP ROAD 84, FOSTORIA, OH 44830-9591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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