Gina M Wagner, DPT

NPI #1144663931 in Saint Louis Park, Minnesota

Provider Information

NPI Number: 1144663931
Entity Type: Individual
Name: Gina M Wagner, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Apr 10, 2013
Last Updated: Aug 1, 2014

Practice Location

Address: 3800 PARK NICOLLET BLVD
Address 2: REHABILITATION SERVICES
City: Saint Louis Park
State: Minnesota
ZIP Code: 55416-2527
Phone: (952) 993-0973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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