Sara Wagoner

NPI #1053777656 in Iron Mountain, Michigan

Provider Information

NPI Number: 1053777656
Entity Type: Individual
Name: Sara Wagoner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jan 12, 2016
Last Updated: Jan 12, 2016

Practice Location

Address: 325 E H ST
City: Iron Mountain
State: Michigan
ZIP Code: 49801-4760
Phone: (906) 774-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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