Marjorie E Wagoner, PT
NPI #1033605084 in Capitola, California
Provider Information
- NPI Number
- 1033605084
- Entity Type
- Individual
- Name
- Marjorie E Wagoner, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jul 2, 2018
- Last Updated
- Jul 15, 2020
Practice Location
- Address
- 1350 41ST AVE STE 100
- City
- Capitola
- State
- California
- ZIP Code
- 95010-3934
- Phone
- (831) 706-2085
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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