William Albert Wagner JR., PTA
NPI #1174899884 in Parma Heights, Ohio
Provider Information
- NPI Number
- 1174899884
- Entity Type
- Individual
- Name
- William Albert Wagner JR., PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 6455 PEARL RD
- City
- Parma Heights
- State
- Ohio
- ZIP Code
- 44130-2984
- Phone
- (440) 887-5705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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