MRS. Genevieve Amanda Wagner, DPT

NPI #1083050728 in Springfield, Illinois

Provider Information

NPI Number
1083050728
Entity Type
Individual
Name
MRS. Genevieve Amanda Wagner, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
May 21, 2013
Last Updated
May 21, 2013

Practice Location

Address
800 E CARPENTER ST
ZIP Code
62769-1000
Phone
(217) 544-6464

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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