Stephen James Waggoner, PT
NPI #1043895261 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1043895261
- Entity Type
- Individual
- Name
- Stephen James Waggoner, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Mar 10, 2021
- Last Updated
- Jun 16, 2021
Practice Location
- Address
- 190 KIMEL PARK DR STE 139
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-6946
- Phone
- (336) 718-6931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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