Theresa Ann Wagoner, PT

NPI #1033268511 in Columbus, North Carolina

Provider Information

NPI Number: 1033268511
Entity Type: Individual
Name: Theresa Ann Wagoner, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 10, 2007
Last Updated: Apr 29, 2016

Practice Location

Address: 60 SHUFORD RD
City: Columbus
State: North Carolina
ZIP Code: 28722-7406
Phone: (828) 894-0277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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