Heidi Wagner, C.P.O.

NPI #1184029399 in Norfolk, Virginia

Provider Information

NPI Number
1184029399
Entity Type
Individual
Name
Heidi Wagner, C.P.O.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Credential
C.P.O.
Enumeration Date
Oct 30, 2014
Last Updated
Oct 30, 2014

Practice Location

Address
6320 N CENTER DR
Address 2
BLDG #15 SUITE 201
ZIP Code
23502-4009
Phone
(757) 892-5300

Specialties & Taxonomy Codes

Specialty
Orthotist
Prosthetist

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