Ethan James Wagner, DPT
NPI #1104640879 in Benton, Arkansas
Provider Information
- NPI Number
- 1104640879
- Entity Type
- Individual
- Name
- Ethan James Wagner, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Nov 11, 2024
- Last Updated
- Nov 11, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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