Individual
ANGELA WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
35 STATE AVE, FARIBAULT, MN 55021-6368
(507) 332-4790
Mailing address
511 S MAIN ST, MEDFORD, MN 55049-9541
(507) 475-2008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1624
MN
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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