Individual
ANGELA MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
125 ORANGE ST, NANTUCKET, MA 02554-4028
(508) 680-1276
Mailing address
125 ORANGE ST, NANTUCKET, MA 02554-4028
(508) 680-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16898
MA
Other
Enumeration date
11/21/2008
Last updated
04/17/2012
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